Failed Hypospadias Treatment

Failed Hypospadias Treatment is curable,only if all the risks are evaluated and proper study on the history of patient is carried upon.

Here we present few points to make you understand about the failed hypospadias treatment and its cure.

What is failed hypospadias treatment?

Hypospadias is a birth defect in males in which urinary opening is not at the usual location in the head of the penis along with the penile deformity. This condition is treated by surgical intervention.

Hypospadias surgery is technically difficult hence when diagnosed is highly recommended to see a urologist who is specialised in Reconstructive Urology.
If Hypospadias is treated/ operated by a routine urologist then there are chances of failure.
The patients with history of failed hypospadias treatment often require multiple surgeries throughout their life.

What are the reasons for failed hypospadias treatment?

 

The results of hypospadias surgical correction are satisfactory provided done in children of 12 months- 15 months of age. Chances of failure increase if surgery is done when children reach sexual maturity (following the puberty). This may develop surgery related complications following corrections.

How commonly failed hypospadias treatment occur?

Hypospadias is the second most common birth abnormality in boys, affecting approximately 1 of every 250 new born boys. Currently, more than 90% of the children get successful results after single stage Hypospadias surgery. So the patients who age with the disease and get it operated at later stage, surgery may fail. Also if surgery is done at ideal age which is 12 months -15 months, still procedure may fail, reason being the lack of expertise.

How is failed hypospadias treatment done?

The patients with failed hypospadias repair should not suffer needlessly as the condition is absolutely treatable. You can still have a normal penis. You can pee normally after re do surgery. Re do surgery is done in stages depending on the complexity and severity of the ailment.

What are the complications of failed hypospadias treatment?

Complications from failed hypospadias repair have a significant impact on psychological and physical wellbeing of the patient. Most frequent complications in patient who underwent failed hypospadias repair are:-

-Chordee
-Loss of penile sensation
-Erectile Dysfunction
-Urethral stricture
-Shortening of the penis

What are the pre-operative and post-operative precautions?

Prior to Re-do surgery the Surgeon needs to check for

• Erectile profile of male patient
• Sensation over penis and glans

Post-Surgery the patient is advised to abstain from sexual activities atleast for 3 months.

What is the recovery time after the failed hypospadias treatment?

Recovery time is bit longer in patients following Re-do surgery for failed hypospadias repair with respect to the Hypospadias surgery done initially. The patient after Re-do surgery can start peeing normally after 2-3 weeks. It may take 3 months for the penile skin to be healed fully.

Will I have normal feelings after failed hypospadias surgery?

Yes definitely the patient can have a normal penis provided the surgery is done by a urologist specialized in Reconstructive Urology. You need to follow the instructions given by the surgeon strictly. Do visit for a follow up after the procedure.

How long does the failed Hypospadias surgery take to complete?

Usually it takes 3-4 hours to operate such cases but it differs from case to case depending upon the complexity of the disease. In few cases need multiple stages 6-8 months apart.

What is the Success rate of Re-do surgery?

At our centre for Urethra and Penile surgery the success rate is high as we use latest techniques to operate. We encourage such patients to get themselves reviewed atleast once in a year. Dr.Gautam Banga has successfully operated more than 500 Hypospdias surgery.

What is the Cost involved in this surgery?

We at Centre for Urethra and Penile Surgery do “Re-do surgery” at an affordable cost.

Do the insurance companies cover the procedure?

Coordinate with your insurance company for this.

 

For any further enquiry on Failed Hypospadias please contact:

Dr. Gautam Banga

MBBS,MS,M.Ch (Urology)
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : 91- 9886624303 | +91-9999062316
Email:- info@urethraandpenilesurgery.com
Website : www.urethraandpenilesurgery.com

 

 

Penile Curvature Correction Treatment

Penile Curvature

IS IT NORMAL TO HAVE CURVED PENILE?

Penile Curvature is an abnormal bend in the penis that occurs during erection or in other words if the penis is bent to the left or right or up or down so much as to make it difficult or even painful to enter your partner during sex then it is matter of concern. This abnormal curvature of penis can be either Peyronie’s disease or Congenital curvature( since birth).

 

WHAT SHOULD I DO IF I AM WORRIED ABOUT MY CURVED PENIS?

If you notice any abnormal curvature in your penis then immediately you need to consult the Urologist who is specialized in Genito-Urinary Reconstructive Surgery. The Specialist will guide you for the right treatment.

 

WHAT CAN BE THE CAUSES OF CURVED PENILE?

There are certain causing factors for penile curvature.

  • Peyronie’s Disease can occur because of trauma to penis during sexual intercourse or masturbation.
  • Congenital Curvature may present since birth.
  • Sequelae of penile fracture-if patient is having any history of penile fracture then there is possibility of penile curvature.

 

WHAT ARE THE SYMPTOMS OF CURVED PENIS?

  • Narrowing of the penis at particular area
  • Hard lumps in the penis/ plaque
  • Shortening of the penis.
  • The thickened area may be painful when the penis is erect.
  • It can be difficult to get an erection / loss of erection
  • The pain and the bending of the penis may physically prevent sexual intercourse.

 

WHAT ARE THE TREATMENTS AVAILABLE FOR CURVED PENILE?

The treatment options depend on several factors such as duratin of symptom, degree of penile curvature, presence of waisting (hour-glass deformity), size of penile plaque (fibrous scar tissue) and presence of erectile dysfunction. In case of mild curvature I suggest not to go for surgery as this type of Peyronie’s disease gets treated on its own.

Surgery is the only treatment known to be effective if :

  • The curvature is >30%
  • Curvature is stable for almost 6-8 months
  • Curvature is associated with Erectile Dysfunction.

PENILE CURVATURE COULD BE CORRECTED WITH THE FOLLOWING SURGERY

  • Penile plication surgery

Advantage – Low risk of erectile dysfunction

Disadvantage – Penile shortening

  • Penile graft surgery

Advantage- Penile length preservation

Disadvantage- Higher risk of erectile dysfunction

  • Penile prosthesis + curvature correction if curvature is more than 40%.

Advantage- Treat underlying erectile dysfunction. Mild degree of curvature gets corrected with penile implant.

Disadvantage- Risks associated with penile prosthesis

 

IS THERE ANY NON-SURGICAL TREATMENT AVAILABLE FOR CURVED PENIS?

 

In case of mild curvature Dr.Gautam Banga suggests not to go for surgery as this type of Peyronie’s disease gets treated on its own. Surgery is the only treatment known to be effective if curvature is significant.

 

WHAT ARE THE RISK FACTORS INVOLVED IN PENILE CURVATURE SURGERY?

Penile curvature correction surgery is considered a safe procedure when performed by expert surgeon. Surgical complications depend on the complexities of Peyronie’s plaque size and the type of curvature correction surgery.

Some of the common postoperative complaints include:

  • Temporary decrease sensation to the glans of penis
  • Potential penile shortening
  • Injury to the urethra
  • Development of erectile dysfunction
  • Recurrence of penile curvature (due to abnormal underlying penile tissue)

 

WILL I HAVE NORMAL FEELINGS AFTER SURGERY?

 

Definitely you will feel the natural erection after surgery provided surgery has been done by an expert in Genito-Urinary reconstructive surgery. Your partner would not be able to make out any difference.

DOES A PENIS LOOK AND FEEL LIKE NATURAL ERECTION AFTER SURGERY?

Normal spontaneous penile erection is common after penile curvature surgery but any sexual activity is discouraged for atleast 4-6 weeks.

 

WHAT ARE THE PRE AND POST- SURGERY PRECAUTIONS?

 

It is usually recommended not to get involved in sexual activities for 4-6 weeks post-surgery.

Strenuous exertions are to be avoided. Patient should be realistic about surgery results.

 

HOW MANY DAYS HOSPITALIZATION IS REQUIRED FOR THIS SURGERY?

Usually 2 days hospitalization is needed for a patient following Penile curvature surgery. But we allow such patients to get discharged from hospital once they are In stable condition. And they are recommended to come after a week for follow up.

 

WHAT IS THE RECOVERY TIME AFTER PROCEDURE?

Recovery is fast and the patient can resume routine work within 24-48 hours.

 

WHAT IS THE COST OF THE SURGERY?

Surgery cost depends upon certain factors like degree of curvature, severity of the ailment, penile implant.

 

DO THE INSURANCE COMPANIES COVER PENILE IMPLANT PROCEDURE?

We suggest you to consult it with your concerned Insurance company.

 

WHAT IS SUCCESS RATE OF THE PROCEDURE?

We help Men with penile curvature to resume to their routine social and sexual life. Our centre for urethra and penile surgery is well equipped and backed up by experts headed by Dr.Gautam Banga who has performed over 100 such surgeries with a high success rate.

For any further enquiry on Penile Curvature Treatment & Surgery please contact:

Dr. Gautam Banga

MBBS,MS,M.Ch (Urology)
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : 91- 9886624303 | +91-9999062316
Email:- info@urethraandpenilesurgery.com
Website : www.urethraandpenilesurgery.com