snodgrass hypospadias repair Archives - Hypospadias Foundation

May 05 2019

Family from Oman thanks hypospadias foundation for care with compassion

Hypospadias Foundation starts Clinic for Hypospadias Treatment & Surgery in Bahrain

It is amazing how far the parents go for ensuring the best care and results for their children when they are having a medical condition requiring treatment. At Hypospadias Foundation, Navi Mumbai, India, we are indeed blessed to be caring for more than 50 such families every year who come from all over the globe for surgery and care for their children. Combined with another 150 families from across India, we are proud and happy to be a part of the lives of almost 200 such families every year. Our dedication to compassionate care extends across borders, providing support and expertise to families worldwide. And when these children heal well, parents send thank you notes which makes it all worthwhile. Join us at the Hypospadias Foundation for care with compassion.

Here is one such letter sent by a family from Oman. Their son was diagnosed to have distal hypospadias in Oman. Family searched for best surgeon and hospital for hypospadias surgery in the world and finally landed up in Navi Mumbai for care under Dr A.K.Singal, top Hypospadias Surgeon and Pediatric Urologist.

Email follows:

Dr. Singal,

I hope you are fine and you family as well.

My son is fine now with grace of Allah. As you know he was having simple distal hypospadias. I searched many times and places regards treating my son professionally for his case. After watching your videos which are posted in YouTube (Hypospadias Foundation Youtube Channel) I decided to do the hypospadias operation for my son with you.

I would recommend any person who is looking for a doctor dealing with hypospadias to go for you for some reasons which are:

1. I am fully satisfied with your approach to the patient and his family.

2. Fully satisfied and comfortable with your high experience similar to my son’s case.

3. Administration at MITR hospital is fine and dealing with international patients professionally especially Dr. Ajit. Very respected person.

4. Price for hypospadias surgery was reasonable, and I paid as agreed.

If any patient would like to ask me, I am happy to answer their questions.

Many thanks Dr. Singal

Mr A, Oman.

We would like many more families to benefit from our expertise, love, and compassion while we treat the little ones for hypospadias. We have also now started a center at Ibn Al Nafees Hospital in Bahrain for children from the GCC region to help them with good results of hypospadias. Children from Qatar, Saudi Arabia, Kuwait, Oman, UAE, Jordan, and Africa will now find it easy to get treated with Dr. Singal and his team in Bahrain. Dr. Singal visits Bahrain every 3-4 months and holds clinics and performs surgeries with Dr. Mahmood Asghar, a renowned Pediatric Surgeon himself in Bahrain. The team has delivered excellent results for more than 40 surgeries done in the last 5 visits of Dr. Singal (as of April 2019). Join us at the Hypospadias Foundation for care with compassion, dedicated to improving the lives of children and families affected by hypospadias.

For setting up an appointment in Bahrain, please write to us at hypospadias.bh@gmail.com or whatsapp at +973-39467333

For coming to India: Pls Fill up this form here:

http://www.hypospadiasfoundation.com/contact-form-for-patients/

Else pls drop an email to hypospadiasfoundationindia@gmail.com or

WhatsApp Dr Rajkumar (Coordinator for Hypospadias Foundation) at +919821261448

hypospadias foundation for care with compassion

Dr A.K.Singal performing surgery

Watch Video of Distal Penile Hypospadias Surgery by Dr A.K.Singal, Best Hypospadias Surgeon In India.

April 04 2015

Chennai to Navi Mumbai: A Doctor’s tale of Hypospadias Repair Surgery for her son

As doctors we are blessed to earn both money and gratitude from our patients. This is even better for us Pediatric urologists as we can experience deep happiness of the parents when their little one gets better after a surgery. We personally feel that we are a part of their life now as we were the lucky one’s to be there when they were struggling to get their little one through a difficult time such as surgery. God has given such unique position to doctors caring for kids as they can then see kids growing up year by year and feel blessed to have invested their life into building up a healthy and safe future.

The diagnosis of hypospadias in a newborn baby can cause a lot of anxiety, distress and pain to the mother who has just delivered, the husband who hasn’t slept in days and the family which has keenly waited for 9 months. At this time in first few days of life, if a proper counseling and guidance can be given by an expert, it can make a world of difference. This may not be possible all of the times as surgeons caring for children with hypospadias on a very dedicated basis are far and few in between across India. Most of the pediatric urologists and surgeons are adept in diagnosing, understanding and counseling for hypospadias and hence should be called in neonatal age itself.

One year back, I received a call from neonatal nursery to see a newborn baby born with hypospadias. Both mom and dad were doctors and worked in Chennai, Tamilnadu, India. Mother was delivering in a Navi Mumbai hospital as the maternal side family lived in Vashi. During the visit, I could see the anxiety and concern writ large on her face. She was torn between playing her role as a mother and her knowledge as a doctor. I discussed with her in detail about the type of hypospadias and also the corrective surgery needed. Since it was a midpenile hypospadias, I told them that a single stage urethroplasty repair was possible. We discussed at length about the right age for surgery and anesthesia. The baby and mother were discharged from nursery at 3 days and then I saw them again at 1 month of age, By this time, the mom was mentally tough and ready for the surgery. We planned the surgery at 6 months of age.

The family travelled from Chennai to Navi Mumbai at 6 months of age with a preplanned date for surgery. Since the urethra was hypoplastic for a short distance proximally and the urethral plate was not very good, we did an onlay island flap repair. The surgery was completed in 2 hours and A.J. was discharged the next morning. The hypospadias dressing was removed on day 5 and the urinary catheter was removed on day 10 after surgery. A.J. healed well over next 2 weeks and the family visited me again 6 months after surgery. A.J. is passing urine from tip of penis, the penis is straight and there is an excellent cosmetic result of his hypospadias surgery. The family is overjoyed and I am also relieved and happy with the good outcome.

The mother sent us a nice thank you note last week and it made my day. It follows verbatim here:

Hello Dr. Arbinder Singal,
A happy parent with a blessed son.
First I would like to convey my heartily thankfulness for your key role in my life. I would rather tell it as my life because my son is my life.
October 2012, good news was accompanied with sad news too, when my pediatrician told me that my son is suffering from hypospadias. Even though I am also a doctor, a fearful alarm rang inside a mother with loads and loads of questions.
But to my rescue doctor, your opinion was asked. During your visit, you were polite and calmly answered all my questions and relieved my fears.
As I am from Chennai and my parents stay in Chennai, everything fell in place very conveniently.
After 6 months, the day for hypospadias surgery came, as doctors, my husband and I were ready mentally but emotionally it was a nightmare.
But thank you doctor, MITR doctors and staffs- All made us feel very comfortable. You were so supportive and took care of everything right from the beginning.

That day gave a new life to my son. Now he is doing fine and leading a happy and normal life.

Six months have passed and everything is well.

Thank you God
Thank you doctor
Thank you MITR Hospital and staff
Thank you Hypospadias foundation
May your sincere service continue forever for the needy.
God bless you
Yours
A happy parent with a blessed son

Footnote:

These are the letters and emails which make caring for kids worthwhile even in the face of all risks and uncertainties of surgery on a small child. In the dark times, these blessings shine like rays of hope and give energy to carry on. I wish to express gratitude to all parents who have trusted us with the care of their little ones. We feel truly blessed and honoured to be of help.

About the author:

Dr A.K.Singal is a Pediatric Urologist and a specialist hypospadias surgeon. He does more than 200 hypospadias repair surgeries every year and has the best results for complicated and failed hypospadias. Every year he gets referred complex, severe and failed hypospadias patients from all over India and more than 20 countries. Along with the team at Hypospadias Foundation and MITR Hospitals, he feels joy and blessings in caring for children with hypospadias.

You can send us an enquiry by filling up this form: http://hypospadiasfoundation.com/contact-patient.htm

Or you can send us an email at hypospadiasfoundationindia@gmail.com

Or you can call Dr Rajkumar, Coordinator of Hypospadias Foundation, at +91-9821261448 between 10am-4pm

Also, you can call up Dr Rajkumar, Dr Singal’s assistant and Coordinator of Hypospadias Foundation on +91-9821261448

Videos of Hypospadias Repair surgery by Dr A.K.Singal

December 12 2014

Letter from Afghanistan: 8 month old child undergoes successful hypospadias repair surgery at Hypospadias Foundation in Navi Mumbai, India

Hello Dr A.K.Singal,

My feedback from my baby’s operation at Hypospadias Foundation & MITR hospital in Navi Mumbai, Kharghar, sector 21:

When I was told by my baby’s doctor at the time of birth that he had hypospadias, we were very worried about it as it was the first time I had heard such case. Then I started searching about treatment and could not find any specialist locally in Afghanistan. Then we searched for a hypospadias specialist in India and could find the best pediatric urologist surgeon in Mumbai called Dr. A. K Singal in MITR hospital in Navi Mumbai although, I searched in Delhi and other states. Indeed what all I found it was just from Google net and I was really not sure what is going to be happen. Many questions arose into my mind that how the operation is going to be done? How many days my son would be admitted? And many other questions were there.

Eventually, I got appointment with the MITR hospital via email with Mrs. Emily Paul who was very helpful and then we decided to go India for the treatment and finally reached the mentioned hospital on the 1^st December, 2014. In the same day, Dr. A. K Singal visited my child and he impressed me when he talked about the operation and we decided to operate him after two days. Then on the 3^rd December my baby’s operation was done.
The operation was done in a very professional way and successfully with no issue. Then I realized that I took a really right decision and found the right hypospadias doctor. It was amazing that in the same day my baby did not have any pain and discharged from the hospital but I requested to remain for some more days for betterment of the child.

We (me and my wife) have very good memories from the Hypospadias Foundation and MITR Hospital especially from Dr A.K.Singal and now we know why he is a renowned Pediatric urologist and one of the best Hypospadias surgeons in India. The staff of Hypospadias Foundation based in MITR Hospital is good and the nurses were really outstanding. I thank them too.

My little angel is doing very well after surgery with no issue and we overcome those all tensions and worries which we had in the past. I really appreciate Dr. A. K Singal and whole MITR team with professional communication and cooperation and your friendly environment.

Considering that our son had hypospadias which can have lot of stigma, we request you to keep his name and identity confidential. We would be happy to interact with parents whose children are suffering from hypospadias any time offline.

Thank you Dr. Singal.

Best Regards,

Mr M.H., Herat, Afghanistan

Case description:

Master F.H.,8 months old child underwent distal penile Hypospadias treatment at our hospital recently (Dec 2014). Father had written to us about a month back expressing a desire to travel for Afghanistan to India for the hypospadias repair surgery. They had sent us pictures of the penis via email and we could explain to them the type of anomaly and the surgery needed for the same. Fortunately, the father took very good and clear pictures as instructed and it was easy for us to understand even without examining the child. Ms Emily Paul and Dr Rajkumar coordinated the OPD appointments and then one fine day the baby was at our hospital in Navi Mumbai. We confirmed the hypospadias to be distal penile hypospadias and did the pre surgery checkup and fitness by a Pediatrician. We took up the baby for surgery on 03/12/2014 and surgery was done using Tubularised Incised plate urethroplasty (TIP repair) also called Snodgrass repair or Snodgrass urethroplasty. Originally described by Dr Warren Snodgrass, the TIP repair is one of the most reliable and common repairs done worldwide for distal and midpenile hypospadias in selected and suitable cases.

The surgery was finished in one hour and F.H. was allowed feeds after 3 hours of surgery. He was at his playful best by evening and we planned to discharge the baby. Parents were very worried about taking him to a hotel and requested to stay in the hospital for another week till the dressing and the catheter were taken out. In normal circumstances, we discharge most of the hypospadias surgery kids by evening of surgery but here understanding the situation we allowed them to stay for a week. Finally the catheter and the dressing were removed in 5 days and the parents took the child to Pune with them. I saw them on 15^th Dec 2014 once again before their final flight back home to Afghanistan from Delhi. He was doing very well and the penis had healed very nice with good cosmetic and functional outcome.

Staff and nurses were very fond of master F.H. as he was a very happy baby and used to come to everyone’s arms easily and used to play with them. He used to be in my lap all the time. All of us here at MITR Hospital and Hypospadias Foundation wish him the very best in life. And we all miss him.

About the Hypospadias Foundation & Dr A.K.Singal

Hypospadias Foundation in Navi Mumbai, India is the world’s only organisation committed and dedicated to treatment and care of children having hypospadias. Over last 6 years children from all over India and from more than 15 countries have benefitted from care at Hypospadias Foundation.

Dr A.K.Singal, Pediatric Urologist and Hypospadias Surgeon is an expert and renowned surgeon for management of children and adults with Hypospadias. Dr Singal and Dr Manish Dubey are close friends and together started Hypospadias Foundation in Nov 2008.

Dr A.K.Singal during Hypospadias surgery

Dr Singal can be contacted by filling up this form: Enquiry form for Hypospadias

Or you can call up Dr Rajkumar (Dr Singal’s assistant) at +919821261448

His clinic timings in Navi Mumbai, Thane and Mumbai are available here:

Clinics and Timings for Dr Singal

Hypospadias repair surgery videos by Dr A.K.Singal:

Contact Form for Hypospadias Foundation

Please fill all clinical details and upload pictures and clinical summaries (if available)

June 06 2014

Excellent results of Hypospadias repair surgery – TIP urethroplasty (Snodgrass Repair) for distal penile hypospadias

Hypospadias is one of the most common malformations in boys and affects more than 1 lakh kids in India. At Hypospadias foundation and MITR Hospital, Kharghar, Navi Mumbai, India – we see and manage more than 200 kids every year who have hypospadias and need surgery. These cases are either primary (75%) or those have failed surgery elsewhere (25%)- some of them have failed multiple surgeries elsewhere.

We strongly believe that hypospadias surgical correction should not be taken lightly or casually by any surgeons as first hypospadias surgery is the best chance which the child has. Once the first hypospadias surgery has a complication, more surgeries are needed and still the result may not be optimal. Hence, the surgeon needs to be well trained for hypospadias repair procedure and should have a very keen and passionate interest before he takes up any child up for surgery for hypospadias.

Amongst the various techniques for hypospadias surgery, one of the most popular one is Tubularised Incised Plate (TIP) urethroplasty. TIP repair was first described by Prof Warren Snodgrass and it currently constitutes 70% of all distal and midpenile hypospadias repairs across the world. Due to its universal adoption and remarkable results, it is also known as Snodgrass repair. I had the good fortune of assisting Dr Warren Snodgrass during his multiple visits to India when I was a resident in pediatric surgery at All India Institute of Medical Sciences. I keep bumping him into now and then at pediatric urology conferences, the last one of which was European Society of Pediatric urology Congress in Genoa Italy. We received the best paper award at the conference and it was nice to see Dr Warren Snodgrass applauding us.

While TIP repair or Snodgrass urethroplasty has excellent results, case selection before surgery is very important. The criteria are:

Distal or midpenile hypospadias
Mild to moderate chordee which is correctable
Wide pink elastic urethral plate.

In certain selected proximal hypospadias, Snodgrass repair can be used but on a personal level- a long Snodgrass repair may not be the best option in most cases. We have started using Onlay Island flap repair in most of our proximal hypospadias and all distal/ mid penile hypospadias which are unsuitable for TIP Urethroplasty.

Steps of surgery:

Degloving the penis and chordee correction – straightening of the curvature of the penis
Midline urethral plate incision
Neo-urethra formation on a catheter
Second layer coverage with either a dartos flap or spongiosum
Penile skin cover with Byars flap which helps in creating a midline closure on underside of penis. After the healing is finished, penis looks like just a circumcised penis. In some selected cases Prepucial reconstruction can be offered.

You can watch the video of a Snodgrass Urethroplasty for a distal penile hypospadias here.

In my experience as an expert hypospadias surgeon, while doing TIP urethroplasty everything has to be done meticulously to prevent complications. If I have to narrow down on two things which have really lessened the complications of hypospadias repair with Snodgrass urethroplasty at our centre are:

Fashioning a wide caliber neo-meatus- so that there is no narrowing later on
Providing a second layer cover on new urethra with either spongiosum or a dartos flap.

Master Soham’s parents stay in Latur, Maharashtra and their son was diagnosed to have a distal penile hypospadias at birth. Worried about multiple surgeries and poor outcomes for hypospadias repair- They searched for the best hypospadias surgeon on the internet and landed up in our pediatric urology clinic at MITR Hospital in Kharghar, Navi Mumbai. We did the surgery using a Snodgrass repair technique in First week of May 2014. The surgery went well and child was discharged the evening of surgery. The dressing and catheter were removed 5 days after surgery and now one month after followup the child has an excellent outcome after hypospadias repair surgery. The cosmetic appearance is excellent with a meatus at the tip of penis, straight penis and just a circumcised appearance.

Good cosmetic outcome after single stage hypospadias repair surgery

Parents are also happy and overjoyed.

Happy parents – after successful hypospadias repair surgery

If you wish to consult Dr Singal you can fill up this contact form here:

http://hypospadiasfoundation.com/contact-patient.htm

Or call up Dr Rajkumar at +91-9821261448 to discuss anything

Contact Form for Hypospadias Foundation

Please fill all clinical details and upload pictures and clinical summaries (if available)

Tag Archives: snodgrass hypospadias repair

Contact Form for Hypospadias Foundation

Contact Form for Hypospadias Foundation