When your son is diagnosed with hypospadias, your choice of surgeon makes all the difference. With an innovative approach to robotic paediatric surgery for children, Dr Gursev Sandlas has raised the standard of care through a stentless repair technique.
Thousands of families have placed their trust in us, confident that their child is receiving both exceptional care and compassion.
What is Pediatric Hypospadias
Hypospadias is a congenital condition where the urethral opening is located on the underside of the penis rather than at the tip. Understanding the type of hypospadias is the first step towards effective paediatric hypospadias repair.
- Distal: Mild form; opening near the tip (most common, 50–70% of cases).
- Midshaft: Opening along the shaft; moderate curvature.
- Proximal: Severe form; opening at base with significant bend.
Our team of hypospadias surgeons customise the surgery techniques based on the severity of your child’s condition.
Types of Hypospidas
Glanular / Coronal Hypospadias
In glanular or coronal hypospadias, the opening is located at or near the head of the penis (glans). It is typically the most common and least severe form but may still require correction for function and cosmetic appearance. Correction often involves moving the opening to the tip.
Midshaft Hypospadias
Midshaft hypospadias occurs when the urethral opening is located along the middle of the shaft of the penis. This condition often presents with a more complex set of challenges, including chordee, and may require multi-stage surgical correction to reposition the opening and straighten the shaft.
Penoscrotal / Perineal Hypospadias
This is a more severe form where the urethral opening is at the junction of the penis and scrotum, or even on the perineum. Management is highly complex, almost always involving multiple detailed surgeries. Common associated conditions like micropenis and bifid scrotum are addressed simultaneously.
When is Hypospidas Surgery Needed?
Surgery is recommended when the urethral opening is not positioned at the tip of the penis, affecting urination, development, and long-term function.
It may specifically be indicated when:
- The urinary opening is located below the tip of the penis.
- The child has difficulty directing the urine stream.
- There is downward curvature of the penis (chordee).
- The foreskin appears incomplete or hooded.
As a reputable paediatric urologist in Mumbai, Dr Gursev Sandlas usually advises early correction for the best outcomes. Hypospadias surgery is ideally performed when your child is between 6 and 18 months of age, as tissue healing is optimal and long-term outcomes are most favourable.
Why Choose Dr Gursev as Your Paediatric Urology Specialist?
Choosing the right paediatric urology specialist who makes decisions based on the long-term well-being of your child is essential. :
Choose Dr Gursev if you’re looking for:
- Advanced infrastructure that supports accurate diagnosis and advanced monitoring of congenital urological anomalies.
- Paediatric care specially designed for children, infants and adolescents.
- Expertise in reconstructive paediatric urology, including correction of conditions such as hypospadias.
- Robotic-assisted procedures that ensure reduced postoperative pain and support faster recovery.
- Customisable treatment plans that do not compromise on results.
About Dr. Gursev Sandlas
Consultant, Pediatric Surgeon and Pediatric Urologist, Robotic Pediatric Surgeon
MBBS | MS | M.Ch
Dr. Gursev is a Pediatric Surgeon & Pediatric Urologist in Mumbai. He has completed his MBBS from Grant Medical College & Sir J.J. Group of Hospitals and was at the top of his graduation class.
Subsequently he did his M.S. In general surgery from L.T.M. Medical college and L.T.M. Municipal General Hospital popularly known as Sion Hospital in Mumbai. Sion Hospital runs one of the busiest trauma centers in Asia and it laid the foundation of a sound surgical training for Dr. Gursev. He followed it up by completing his M.Ch. in Pediatric Surgery also from Sion Hospital.
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Frequently Asked Questions
Yes. It is highly safe. When performed by an experienced specialist, complications are rare. Dr Sandlas’s pioneering stentless repair technique adds a layer of safety by eliminating the urethral catheter, significantly reducing the risk of infection and postoperative discomfort.
As per a report, the current success rate of the surgery is around 88%-95%. Our personal audited success rate at the Hypospadias clinic is around 98%, which is amongst the best in the world.
Absolutely. Using robotic paediatric surgery and advanced techniques, Dr Sandlas ensures excellent cosmetic results, repositioning the opening to the tip for a natural appearance and normal function.
Most boys are analysed twice during the first 3 months after the surgery. Once after 3 weeks and then again after 8 weeks.
The hypospadias treatment cost can vary depending on the expertise of the surgeon and the city. However, if you are looking for a reputed and expert surgeon in Mumbai, the cost for the procedure can slightly be on the upper end.
