Adult Hypospadias Repair · Reconstructive Urology in Bangkok

If your adult hypospadias is asymptomatic and doesn't impact your daily life, repair isn't strictly necessary. However, we recommend considering repair if you experience bothersome urinary symptoms like spraying or a downward stream, recurrent urinary tract infections, sexual dysfunction due to penile curvature (chordee), significant cosmetic concerns affecting your self-confidence, or complications from a previous childhood repair. Your comfort and quality of life are paramount in this decision.

Success rates are generally high, but vary based on complexity. For single-stage repair of distal adult hypospadias, you can expect a 75-90% success rate. More complex cases, like proximal hypospadias or revisions requiring a two-stage Bracka repair, typically see a 70-85% success rate. Success means achieving a straight urinary stream from the tip of the penis without urethral fistula or stricture formation, alongside an aesthetically acceptable cosmetic outcome that meets your expectations.

While generally safe, adult hypospadias repair carries some risks. The most common are urethral fistula, a new opening along the urethra, and urethral stricture, a narrowing of the urethra. Both are manageable, often requiring a minor secondary repair. Less common risks include partial graft loss if a buccal graft is used, persistent penile curvature (chordee), or cosmetic dissatisfaction. We will thoroughly discuss all potential risks and their management with you during your personalized consultation.

Your recovery involves wearing a urinary catheter for approximately 7-14 days to allow healing. You should limit strenuous activity for the first two weeks. Most individuals can return to desk-based work within 2-3 weeks, though physically demanding jobs may require a longer absence. Crucially, sexual activity must be restricted for a full 6 weeks post-surgery to ensure optimal healing and prevent complications. We will provide detailed post-operative care instructions.

The cost of adult hypospadias repair in Bangkok is highly individualized. It depends significantly on the surgical complexity, such as whether you require a single-stage or two-stage procedure, if a buccal mucosal graft is necessary, the length of your hospital admission, and any potential revision needs. For a precise and personalized assessment of your specific case and an accurate cost estimate, we strongly recommend booking a consultation with our specialist.

Adult hypospadias repair offers excellent long-term outcomes for most patients. Once successfully healed, the results are generally durable, providing a functional and cosmetically acceptable penis for many years. Studies show that the majority of successful repairs maintain their integrity over decades. While rare, new complications like strictures can emerge years later, so we recommend periodic follow-up. Our goal is to provide you with a lasting solution that significantly improves your quality of life.

Adult hypospadias repair is typically performed under general anesthesia, ensuring you are completely asleep and comfortable throughout the procedure. In some cases, a regional block, such as a spinal or epidural, may be used in conjunction with general anesthesia to provide extended pain relief post-operatively. Your anesthesiologist will discuss the safest and most appropriate options for your health profile and the planned surgery during your pre-operative assessment.

During your consultation, you will meet with our experienced urologist specializing in hypospadias repair. We will conduct a thorough physical examination, discuss your medical history, and understand your specific concerns and goals. You may undergo diagnostic tests like a uroflowmetry or retrograde urethrogram to assess your anatomy. We will then explain the surgical options, potential risks, and recovery, helping you make an informed decision about your treatment plan.

International patients should plan to stay in Bangkok for approximately 2-3 weeks post-surgery for catheter removal and initial follow-up. We can facilitate post-operative communication via secure messaging platforms like WhatsApp for your convenience once you return home. You can typically fly home safely after your catheter is removed and your surgeon confirms your initial healing is satisfactory, usually around 14-21 days after your procedure.