What does hypospadias repair involve?

Whether a case be mild or severe, hypospadias can have a hugely disruptive impact on a man’s urinary and sexual functions. For the one in 300 men affected by this genetic defect, the condition presents a range of difficulties, from urinary tract infections to distress in sexual relationships. Sometimes linked to undescended testes, infertility can also be an issue.

What are the surgical options?

A procedure using skin flaps has long been the conventional option for treating hypospadias but surgeons have developed an effective new technique: the tubularised incised plate (TIP) or Snodgrass repair. The benefits of this procedure are a high success rate and a more normal appearance after surgery. By extending the urethra using the tissues that would normally create the urinary channel, the procedure can alleviate many symptoms. During a consultation with Milton Keynes-based plastic surgeon Mr Sudip Ghosh, you will discuss what treatment is most appropriate and what degree of ‘normality’ can be achieved as this will depend on the severity of the condition.

What are the risks?

Each year in the UK, there are around 1,500 hypospadias correction procedures carried out. There is, however, a high complication rate that can leave a patient with life-long urinary issues. Therefore, choosing a skilled plastic surgeon who has experience in treating hypospadias is vital. Mr Sudip Ghosh, a member of the prestigious professional body BAPRAS (British Association of Plastic, Reconstructive and Aesthetic Surgeons), uses techniques that have been rigorously tested: he regularly performs the Snodgrass repair technique which is backed up by recent data published in the Journal of Pediatric Urology, showing it to have a success rate better than 95 per cent. At his Milton Keynes hypospadias clinic, Mr Ghosh will discuss all the surgical options available and outline the potential risks associated in order that an informed decision can be made.

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