Excellence in Hypospadias care
Dr. D. S. Rathore
MBBS, M.S. , M.Ch. ( Ped. Surgery ), Children's Superspecialist Surgeon and Pediatric Urologist, ( Hypospadias Specialist Surgeon )
Dr. D. S. Rathore provides services in urology superspecialties Hypospadias Surgery having vast surgical experience and expertise in Hypospadias. While graduating from the B.J medical college Ahmedabad , after rigorous surgical training at the civil hospital medical Institute for more than 3 years & advanced surgical training .... he vowed to bring smiles back on the faces of suffering humanity.
Dr. D. S. Rathore created the Hypospadias Specialty Center in 2013 - a center providing innovative care for patients of all ages with penis birth defects The hospital provides the latest state-of-the art instrumentation and procedures for Hypospadias surgery.
Hypospadias Surgeries accounts for only 2% of all operations done each year by certified pediatric urologists, who do an average of 1 hypospadias operation a month. In contrast, Dr. D. S. Rathore have dedicated their professional careers to improving hypospadias surgery have performed 3 to 4 Surgeries per day.
What is Hypospadias ?
Hypospadias is a birth defect (congenital condition) in which the opening of the urethra is on the underside of the penis instead of at the tip. The urethra is the tube through which urine drains from your bladder and exits your body.
Signs and symptoms of hypospadias may include : -
- Opening of the urethra at a location other than the tip of the penis
- Downward curve of the penis (chordee)
- Hooded appearance of the penis because only the top half of the penis is covered by foreskin
- Abnormal spraying during urination
- An abnormal appearance of the tip of the penis (the glans)
- In some cases, boys born with hypospadias may also have undescended testicles or inguinal hernias
Hypospadias treatment
If your son has a very mild case, he may not require surgery because his condition will not have a large impact on his life. However, sometimes parents of boys born with minor abnormalities still opt for surgery for cosmetic reasons, like straightening the penis and removing excess foreskin.
Hypospadias is usually fixed with surgery. Surgery usually restores the normal appearance of your child's penis with its tip at the end of the penis ( reposition the urethral opening and, if necessary, straighten the shaft of the penis ). With successful treatment of hypospadias males can have normal urination and reproduction.
Hypospadias Surgery
Most forms of hypospadias can be corrected in a single surgery that’s done on an outpatient basis ( 24 hrs ). Some forms of hypospadias will require more than one surgery to correct the defect.
When the urethral opening is near the base of the penis, the surgeon may need to use tissue grafts from the foreskin or from the inside of the mouth to reconstruct the urinary channel in the proper position, correcting the hypospadias.
Surgery procedure duration
Its a 90 minutes to 2 hours duration surgery procedure. In few cases the repair can be done in stages.
Correct Age For Hypospadias Repair ?
Hypospadias surgery can be fixed in children of any age even in adults. Preferred children is ages between 1 year to pre school age for surgery.
Hypospadias complications :
If hypospadias is not treated, it can result in :-
- Abnormal appearance of the penis
- Problems learning to use a toilet
- Abnormal curvature of the penis with erection
- Problems with impaired ejaculation
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How to prepare for surgery ?
1. Discuss with your doctor about the plan of surgery , the advantages and complications before hand ,so that while signing the consent for surgery ,you will not be tensed.
2. Please come to the hospital on time on the day of admission,otherwise everything gets delayed.
3. Follow the instructions about feeding the child accurately… if you don’t follow it , there is risk for anesthesia, and surgery will get delayed or postponed.
4. Usually in kids , breastfeeding n water or clear fluids are allowed till 4 hours prior to the operation timing … while any solids including top milk or formula are allowed till 6 hours prior to surgery .
However, as each case is different, please follow strictly the guidelines told by your surgeon .
5. Remove all ornaments, threads or any other jewellery over the body of child ,before coming to hospital.
6. Make sure you bring all the past records ,investigations and admission paper on the day of admission for surgery.
7.For planned cases , check the type of room you want before the date of admission depending on your budget and availability.
8. Take estimate from the billing department about the expenses for surgery and stay, so that you will be prepared fully avoiding last minute delays and surprises .
9. If you have mediclaim, and want to go for cashless ,please submit your necessary documents to mediclaim department minimum 5 -7 days before the planned date for surgery .
Many congenital anomalies are not covered under insurance ,and the claims get denied , if you know about it before hand, you will be prepared for the expenses.
Its better to go for reimbursement, when your doctor tells you the possibility of rejection, as they are accustomed to how the denial of insurance for many congenital anomalies in children .
10. Though the hospital provides diet to the baby ,its better to keep some favorite foods or routine food the child takes ,as they may not like the taste of new food from hospital.
11. Keep a extra set of clothes, as you will need it while going home .
12. Keep the favorite toy or some plays to keep your kid engaged in it ,as they find the hospital atmosphere different and may become cranky .
13. Once you arrive to the emergency dept , your child will be taken for IV line insertion, if your doctor tells you to remain away ,please follow it.
Many a times ,in chubby babies ,establishing IV lines is difficult, don’t get nervous if the doctor takes a second prick ,it happens.
Make sure you keep the line safe to avoid further pricks .
14. Don’t get much emotional in front of your kids , you give them support and will make them strong to sustain the surgery .
15.lastly ,believe in your surgeon ,and trust Her/Him,they are there to treat your child the best .
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Hypospadias care
