Hypospadias is a congenital abnormality of the penis in boys. It is common, occuring in 1 out of 150 - 200 boys (approx.). The 3 main abnormalities in hypospadias are:
In most boys, hypospadias is an isolated problem & all the child requires is a good surgery to correct the defect. In most (80-85%) cases, a single operation is sufficient to correct hypospadias with excellent results. Dr. VVS Chandrasekharam has done over 500 hypospadias repairs. He has over 90% success with single-stage correction of most hypospadias (including moderate to severe hypospadias with chordee). Dr. VVS Chandrasekharam has has published his results in reputed journals which can be accessed online.
About 10-15 % of hypospadias are of the very severe type, usually associated with a small penis, bifid scrotum (scrotum spilt into two halves in the midline) & scrotal transposition (scrotum overriding the penis) where it may be difficult to estimate the sex of the child at first look. Such children require chromosomal tests (karyotyping) & other tests before planning surgical correction.