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Uploaded by Hypospadias Foundation, India. Email: [email protected] Q1: How second opinion can help for a child or adult with failed hypospadias Hypospadias is one clinical condition where we do not need any complicated tests or examination to determine if the child had a success of the hypospadias surgery or not. If the child is passing urine from the tip of penis, in a single, straight, thick stream comfortably and the erections are straight- they know that the surgery has been successful. Often the primary surgeon may be not able to manage the complication, may not be an expert in managing failed hypospadias or may not be able to think through the complication roadmap due to a mental roadblock. In such situations, an expert neutral second opinion from an experienced hypospadias surgeon may help significantly. A new line of treatment or a fresh perspective may help in finding the right solution. At hypospadias foundation, we often see cases where the first surgeon has tried 3-4 surgeries sometimes even 6-7 and they have not worked, clearly a new approach should have been taken to give a good result. Q2: How to take a second opinion for hypospadias You can send an email to [email protected] or communicate via whatsapp with Dr Rajkumar - +919821261448. It is best to send pictures of penis, a short video of child passing urine and pictures of previous surgery records. A short summary in a word document also helps us in understanding the issue. We typically get back with an opinion within one week. Q3: Payment for second opinion Most of the times if it is a basic opinion & short straightforward case, Dr Singal discusses with Dr Rajkumar and then Dr Rajkumar sends an outline of suggested approach via email. There are no charges for a basic second opinion. Dr Rajkumar has been working and managing all remote consults at Hypospadias Foundation for more than 10 years and has managed more than 2000 cases with Dr Singal. At other times if the parents wish to speak to Dr Singal or the case requires and extensive review which can’t be done in a short while, then it is time commitment from Dr Singal. Such consultations are chargeable and done on phone or skype. Typical charges vary from 1500 INR to 100 USD. Q4: Can second opinion be given without in person examination? With the availability of good pictures, videos, medical records and reliable history- a very reliable second opinion can be given for hypospadias. Very rarely, the case is too difficult or needs a physical examination, in such cases we let the family know about this best in advance. Be rest assured that a good outcome after treatment at Hypospadias Foundation Hospital is a common and mutual goal for us and the family. We get children from all over the world who travel far and wide to find a cure for their child’s failed hypospadias. And we give our best care and treatment to all such families.