Hypospadias Treatment in Mumbai

Many parents notice something unusual while changing their newborn's diaper—the urine opening doesn't seem to be at the tip of the penis. It can be alarming, especially for first-time parents, but in many cases, this is due to hypospadias, a common congenital condition seen in baby boys. The good news is that with timely diagnosis and expert Hypospadias Repair Surgery, most children can achieve normal urinary function, an improved appearance, and healthy development.

Hypospadias affects approximately 1 in every 200–300 male births, making it one of the most common congenital abnormalities of the male urinary system. In this condition, the urethral opening is located on the underside of the penis rather than at its tip. Some children may also have a downward bend of the penis (called chordee) or an incompletely formed foreskin. Although the condition is present from birth, modern pediatric surgical techniques offer excellent outcomes when treatment is performed at the appropriate age.

If you are looking for expert Hypospadias Treatment in Mumbai, Dr. Bhavesh Doshi, Consultant Pediatric Surgeon at Dhanvantari Hospital, specializes in advanced Hypospadias Repair Surgery for infants and children. The goal is to restore normal urination, straighten the penis if needed, and achieve the best possible functional and cosmetic outcome.

What Is Hypospadias and Why Does It Occur?

During fetal development, the urethra normally forms and extends to the tip of the penis. In babies with hypospadias, this process is incomplete, causing the urinary opening to remain lower than normal.

The exact cause is often unknown, but several factors may increase the risk:

• Family history of hypospadias
• Premature birth
• Low birth weight
• Hormonal influences during pregnancy
• Certain genetic factors

Importantly, hypospadias is a congenital condition. It is not caused by anything parents did or did not do during pregnancy.

Could Your Child Have Hypospadias? Here Are the Signs

Most babies with hypospadias are diagnosed soon after birth during a routine newborn examination.

Parents may notice:

• Urine opening on the underside of the penis
• A downward bend (curvature) of the penis during erection
• An incomplete foreskin that forms a "hood" on the upper side
• A spraying or downward urinary stream
• Difficulty directing urine while standing in older children

The severity of hypospadias varies. In mild cases, the opening is close to the tip of the penis, while in more severe forms it may be located near the scrotum.

Why Early Surgery Is Recommended

One of the most common questions parents ask is, "Can we wait until our child is older?"

Although hypospadias is not usually painful, delaying treatment may make surgery technically more difficult and can affect urinary function and psychological well-being later in childhood.

Current international guidelines recommend Hypospadias Repair Surgery between 6 and 18 months of age, when healing is generally excellent and children are unlikely to remember the procedure.

Early treatment helps:

• Create a straight penis
• Position the urine opening at the tip
• Improve urinary control
• Preserve normal sexual function in adulthood
• Reduce emotional and psychological concerns as the child grows

How Is Hypospadias Evaluated?

A careful examination by a pediatric surgeon is usually enough to diagnose hypospadias.

During the evaluation, the surgeon assesses:

• Position of the urethral opening
• Degree of penile curvature (chordee)
• Quality of the urethral plate
• Development of the foreskin
• Testicular position
• Any associated congenital abnormalities

Most children with isolated hypospadias do not require extensive investigations. Additional tests are reserved for selected complex cases.

What Happens During Hypospadias Repair Surgery?

Hypospadias Repair Surgery is performed under general anaesthesia.

Depending on the type and severity of hypospadias, the procedure may involve:

• Straightening the penis (correction of chordee)
• Creating a new urethra using the child's own tissues
• Bringing the urinary opening to the tip of the penis
• Reconstructing the glans
• Improving the cosmetic appearance of the penis

For mild hypospadias, a single operation is usually sufficient. More complex cases may occasionally require staged reconstruction.

Following surgery, a small urinary catheter or stent may remain in place for several days to allow proper healing.

Recovery After Hypospadias Surgery

Recovery is generally smooth, and most children return home within one or two days.

Parents are advised about:

• Catheter care
• Diaper changes
• Pain management
• Bathing instructions
• Antibiotics if prescribed
• Follow-up appointments

Mild swelling and bruising are common during the first few days and usually improve gradually.

Most children return to their normal activities quickly, while complete healing continues over the following weeks.

Why Choose Dr. Bhavesh Doshi for Hypospadias Treatment in Mumbai?

Dr. Bhavesh Doshi is an experienced Pediatric Surgeon with expertise in neonatal surgery, pediatric urology, congenital anomalies, and reconstructive procedures, including Hypospadias Repair Surgery.

At Dhanvantari Hospital, every child receives individualized care using modern pediatric surgical techniques, advanced anaesthesia, and family-centred support. Treatment focuses not only on correcting the anatomical abnormality but also on ensuring the best possible urinary function, cosmetic outcome, and long-term quality of life.