Mission Statement of Hypospadias Foundation
To enhance the functional and cosmetic outcomes for children and adults undergoing surgical correction of Hypospadias & Disorders of Sex Development (Intersex); to provide counseling and support for families having cases with Hypospadias & Disorders of Sex Development; to educate community and society about Hypospadias & Disorders of Sex Development; to arrange financial assistance for families with limited economic resources and to propagate research in etiology and management of Hypospadias & Disorders of Sex Development.
Activities of Hypospadias Foundation
- Clinical care for best outcomes in patients with Hypospadias & Disorders of Sex Development (Intersex).
- Spreading awareness about Hypospadias & Disorders of Sex Development among doctors, medical community and society at large.
- Surgical treatment with good functional and cosmetic outcome for children and adults suffering from Hypospadias & Disorders of Sexual Differentiation.
- To make a registry of Hypospadias & Disorders of Sex Development in community and track the incidence and long term outcomes of treatment.
- To segregate and identify Disorders of Sex Development which may present with hypospadias and to set up a dedicated DSD clinic.
- To organize parent counseling and interaction between families having children with Hypospadias & Disorders of Sex Development.
- To promote clinical research and identify new techniques in surgical correction of Hypospadias & Disorders of Sex Development.
- To train surgeons from various streams who want to become Hypospadiologists and offer best care for children and adults with hypospadias.
Our journey so far:
Hypospadias foundation started in 2008 as a small idea while Dr Singal and Dr Manish Dubey were discussing how to improve the outcomes for hypospadias surgeries. Quickly, they realised that they need to dedicate lot of time and energy to make this happen. Hence, they started setting up time to do dedicated clinics, create special patient flows, collect data about techniques & surgeries and outcomes, writing up articles on the website, meeting other doctors and even creating special instrument sets. With a concerted effort, the hypospadias surgery results started gradually improving from a success rate of 80% to 90% to a current success rate of almost 95% with less than 5% complication rate. In between Dr Singal collaborated with reputed hypospadias surgeons such as Dr Douglas Canning (late) and Dr Mark Zaontz at Children’s Hospital, Philadelphia, Dr Pippi Salle at Sick Children’s Hospital Toronto, Dr Pramod Reddy at Cincinnati Children’s Hospital and Dr Aseem Shukla at Children’s Hospital Philadelphia.
In 2017, Dr Mahmood Abbas invited Dr Singal to perform a few complex hypospadias surgeries at Ibn Al Nafees Hospital in Bahrain. Hypospadias especially failed hypospadias is a big problem to solve in whole of GCC region and Dr Mahmood was seeing lot of complex and failed hypospadias cases from Bahrain, Saudi Arabia, Yemen, UAE who needed expert hypospadias surgeon to manage them. They hit it off immediately and decided to set up a centre of excellence for pediatric urology and hypospadias repair surgery together in Bahrain. Since 2017, Dr Singal and Dr Abbas have operated more than 100 hypospadias cases from all over the gulf region together with extremely good outcomes. They do a joint hypospadias clinic and operative list every 4 months in Bahrain.
However, a turning point came in 2020 when Dr Ashwitha Shenoy joined Dr Singal full time to take the focus on hypospadias to the next level. From Jan 2020 to June 2024, together having managed more than 1000 surgeries together, Dr Singal and Dr Shenoy have developed
- Blueprint of pre-surgery workup and preparation aimed towards improving outcomes
- Hormonal workup and supplementation pathway to increase the size of penis if it is smaller than normal
- Prepared detailed analysis of reasons of failure of hypospadias surgery
- Chordee correction protocol
- A proper flowchart of how to select the suitable technique for hypospadias surgery in operation theatre
- Infection control protocol
- Pain control protocol
- Follow-up protocol post-surgery
- Adult Hypospadias surgery pathway
- Teleconsultation and second opinion system for international patients
This has paid rich dividends in terms of Best-in-class outcomes making Hypospadias Foundation the no 1 hospital centre for hypospadias repair surgery in India and the world.
Countries from which children have been treated at Hypospadias Foundation include Pakistan, Nepal, Sri Lanka, Bangladesh, Singapore, Vietnam, Burma, Cambodia, Indonesia, Australia, Bahrain, UAE, Yemen, Saudi Arabia, Iraq, Afghanistan, Qatar, Oman, Kuwait, Kenya, Ethiopia, Tanzania, Nigeria, Congo, South Africa, Greece, UK and USA.