Category Archives: Urology



A family in a town of Bulandshehar, India was excited, as the eldest son of the family became father of a boy. The mother and the child both were healthy hence happily discharged from the nursing home. The boy was named “Ansh” by his grandparents. Ansh had become the source of happiness in the family for every member.

Once, when Ansh was 6 months old, Ansh’s mother realized that his urinary opening is not at the tip of his penis, it was located beneath the usual opening. Therefore, she was worried a bit and discussed with Ansh’s father.

They reached to a conclusion to wait until Ansh is little older. The time elapsed and Ansh was now one year old, however he was healthy and used to act similarly what other kids of his age usually act but urinary problem was still present.


Now the parents were worried as the abnormal urinary opening was significantly noticed and Ansh was showing some signs like spraying of urine, hanging foreskin, slight bend of penis in downwards direction. They decided to consult the paediatrician/ child specialist in their town at the earliest.

The Paediatrician suggested them to wait for another 3 to 4 years and convinced them that this problem will go on its own around the age of 5 years. Now the parents had some sense of relief knowing that their son is doing normal.


Cut to another 4 years, now the child was almost 5 years old and his problem of spraying of urine, sagging of foreskin, bent in penis persisted. Now parents could not ignore his symptoms, they started exploring the best child specialist in their town. They found one who explained them about Ansh’s problem; he was diagnosed with Hypospadias and suggested to consult a Urologist with no delays as they had already wasted five years.

The whole family including parents of Ansh lost all hopes now as they were being misleaded and misguided in these six to seven years. Actually, they were guided rightly for the very first time in these long years.


Now the time was to consult a Urologist as suggested by the paediatrician. The Urologist provided them a sense of huge relief by educating them about the treatment possibilities in case of Hypospadias.

The Urologist in their town explained that Hypospadias is treated surgically; it is good to operate in initial years only, also he explained the importance of expertise in operating a case of hypospadias. He further explained that a Reconstructive urologist is the right expert to deal with Hypospadias.

The Urologist suggested them Dr.Gautam Banga’s name for Ansh’s case.


Dr.Gautam Banga is a renowned Reconstructive Urologist heading the centre of Urethra and Penile surgery (UPS) in Delhi.

He is excelled in Genito-urinary surgeries and has an excellent success rate in such cases especially Hypospadias and Urethroplasty. He has an experience of more than 15 years in Genito-urinary surgeries.

Ansh was eight years old when his father took him to Delhi to consult Dr.Gautam Banga. The father was immensely satisfied with Dr.Gautam’s approach in answering his all queries and doubts related to the treatment. Dr.Gautam Banga explained them the outcome, probable complications, and recovery of the surgery.


Surgery was done on the decided date. Dr.Gautam Banga has a good team of resident doctors and nurses for post- operative care, the patient was under their observation for two days in hospital.

He was discharged in a stable condition and with the instructions to come for a follow up after a week. Patient was made free from catheter after two weeks. Now after one month of surgery, Ansh is doing fine with his urine passage.

His parents are grateful to Dr.Gautam Banga for his wonderful efforts on their son for whom they had lost all their hopes.


We the team at UPS (centre of Urethra and Penile surgery) encourage parents not to be misguided or misleaded by multiple opinions ,we encourage you to self-diagnose it and if your child shows any sign of Hypospadias do not prolong consulting with the right doctor.

For further information on Hypospadias and its treatment do consult:-

Dr Gautam Banga

MBBS,MS,M.Ch (Urology)
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : +91-9999062316

Frequently Asked Questions on Hypospadias

Frequently Asked Questions on Hypospadias


  1. How hypospadias can affect fertility?

Answer: Hypospadias does not directly affect fertility. Neither does it affect orgasm. However, hypospadias is more often than not accompanied by testicular problems such as undescended testes. If a person is suffering from undescended testes, he is likely to suffer from low fertility.


2. How much does it take for the surgical wound to heal completely?

Answer: Surgery is the way to go for rectification of hypospadias. But, it takes time to heal although wound healing starts right away. The time to heal completely may stretch up to months. Initially, there may also be some swelling and bruising. However, this gets better within few weeks.


3. If my child’s hypospadias is not rectified after surgery, can he go for another?

Answer: Yes, he can. Most often hypospadias can be rectified in one surgery. However, sometimes patients may need more than one surgery for complete rectification of the problem. There is no problem with repeat surgery.


4. What are the causes of hypospadias?

Answer: Hypospadias might be present from birth, but it can be unknown. Basically it means that the penis does not function in a normal manner. The penis functions in a couple of halves, fusing along the underside. In the womb of a mother this process is complete by 15 weeks of gestation. If this process midway then hypospadias is the cause. A theory exists pointing to impact on various pollutants on a male fetus in the womb.

Frequently Asked Questions on Hypospadias

5. Is there any need to consult a doctor? Do you need the services of a specialist to treat hypospadias?

Answer:  Hypospadias is detected normally at the time of birth.The general surgeon might refer you to a urological surgeon. The specialist is going to provide you with more options and discuss the treatment options including surgery. Take note that if your son is prone to hypospadias at the time of birth, then do not perform a circumcision, as the foreskin is normally used to repair hypospadias tissue.


6. Are there any main treatments?

Answer: A surgery can direct the urethra and a normal opening of glans is witnessed. The main aim of surgery is to correct the cosmetic appearance of the penis paving the urine to be passed in a normal way.


7. How can you help yourself?

Answer: In case if you are suffering from incorrect hypospadias, then very little can be done at your end. You could end up discussing the medical condition with your doctor or others. If your child is affected by hypospadias, discuss the condition with a pediatrician.


8. What would be the total outlook?

Answer: Once the surgery is performed you are not going to face any problems. But surgeries can sometimes be complicated once a hole emerges through which urine can leak.


9. Are there any risks with hypospadias?

Answer:  A usual estimate is that nearly 1 out of 300 males suffer from hypospadias, but evidence points that the numbers are increasing. In most cases, it runs in the family. For example, if a boy has hypospadias, then 1 out of 20 men in the family could suffer.


10. Can hypospadias correct normally?

Answer: Suffering from hypospadias, means that end of the tube does not form properly and urine could emerge from a wrong location. In normal cases, the foreskin is nascent and abnormal curvature of the penis occurs. This affects sexual function and self -esteem in the future.


11. What is the time frame for surgery?

Answer: A pediatric urology doctor one who is a specialist in reproductive organs of kids and urinary tracks performs the surgery. The duration of the surgery is 1 to 2 hours.


12. What is to be done after hypospadias surgery?

Answer: After 24 to 48 hours the bandage is expected to be removed once surgery takes place. In case if you have problems in taking the bandage off you are to be referred to a urology clinic. When you are bathing your child, let the penis dry itself followed by an application of an anti – bacterial cream on the penis.


13. Are there any complications with hypospadias?

Answer: If untreated a child may face problems in going to the toilet properly. During adulthood suffering from hypospadias can lead to erection issues.


14. Does hypospadias have an impact on size?

Answer: Not only hypospadias, but a host of other issues can have an impact on penile size including issues with low birth weight babies.


15. Is it possible to cure hypospadias

Answer:  In most cases hypospadias are minor and no form of surgery is needed. But treatment might include repositioning the ureteral opening and sometimes even repairing the shaft of the penis. Surgery is normally performed between 6 to 12 months of birth.


16. Could chordee correct itself?

Answer:  Once properly erected it does not pose any major issues. In fact a natural appearance of your penis is restored. Chordee without detection of hypospadias is not a common condition. The symptoms might include a bent or curved penis which is shortly diagnosed after birth.


17. Could hypospadias go on to cause urinary problems?

Answer: A boy suffering from hypospadias could be suffering from symptoms of a curved penis. They could even have problems with abnormal spraying of urine and to urinate might have to sit. Once it is not treated properly it can go on to pose later problems in life like urinating while standing or even while undertaking the act of sexual intercourse.


18.  Is hypospadias termed as a genetic occurrence?

Answer: Hypospadias is a disorder that is primarily seen in new born. Though there is a genetic component attached to it.

These Frequently Asked Questions on Hypospadias was brought to you by the Leading Reconstructive Urologists Dr. Gautam Banga.

Dr Gautam Banga

MBBS,MS,M.Ch (Urology)
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : +91-9999062316