Hypospadias Repair

What you should know

Hypospadias repair is surgery to repair your child's urethra or curved penis. Your child may need this surgery if he has trouble urinating or leaks urine.

Care Agreement

You have the right to help plan your child's care. Learn about your child's health condition and how it may be treated. Discuss treatment options with your child's caregivers to decide what care you want for your child.

Risks

Your child may bleed more than expected or get an infection. His incision wound may not heal properly. He may develop a small opening from his urethra to his skin called a fistula. Scarring may develop in your child's urethra and cause trouble urinating. Your child's penis may remain curved, even after surgery. He may still have problems urinating. Your child may be unhappy with how his penis looks. He may have trouble with sexual activity when he is older.

Getting Ready

The week before your child's surgery:

  • Write down the date, time, and location of your child's surgery.

  • Write down the correct date, time, and location of your child's procedure.

  • When you take your child to see his caregiver, bring a list of his medicines or the medicine bottles. Tell caregivers if your child uses herbs, food supplements, or over-the-counter medicine. If your child is allergic to any medicine, tell his caregiver.

  • Ask your child's healthcare provider if your child needs to stop using certain medicines before his surgery.

  • Your child may need blood or urine tests, or an ultrasound before his surgery. Talk to your child's healthcare provider about these or other tests he may need. Write down the date, time, and location for each test.

The night before your child's surgery:

Ask caregivers about directions for eating and drinking.

The day of your child's surgery:

  • Ask before you give your child any medicine on the day of his surgery. Bring a list of all the medicines your child takes, or his pill bottles, with you to the hospital.

  • You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery on your child. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.

  • Your child will have an IV tube placed in a vein. He may be given liquids and medicine through the IV.

  • An anesthesiologist will talk to you and your child before the surgery. Your child may need medicine to keep him asleep or numb an area of his body during surgery. Tell caregivers if anyone in your family has had a problem with anesthesia in the past.

Treatment

What will happen:

  • General anesthesia will keep your child asleep and free from pain during surgery. Your child's surgeon will make an incision around your child's penis. This loosens the skin and helps your child's penis to straighten. The surgeon may use a piece of foreskin or tissue from another area to make your child's urethra longer. He will then create a new opening for your child's urethra at the tip of his penis.

  • The surgeon will place a catheter in your child's urethra to keep it open and drain urine while it heals. The catheter will be attached to the penis with small stitches. Urine will drain into your child's diaper. If your child is older, he may have a drainage bag to collect his urine. Your child's surgeon may cover your child's penis with a bandage.

After your child's surgery:

Your child will be taken to a room to rest until he is fully awake. He will be monitored closely for any problems. Do not let your child get out of bed until his healthcare provider says it is okay. He will then be able to go home or taken to his hospital room.

Contact a caregiver if

  • Your child cannot make it to his surgery.

  • Your child has a fever.

  • Your child has a cold or the flu.

  • You have questions or concerns about your child's surgery.

Seek Care Immediately if

  • Your child urinates little or no urine.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Hypospadias Repair (Precare)

Hide
(web5)