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Hypospadias Repair in Children
WHAT YOU SHOULD KNOW:
- Hypospadias repair is surgery boys have to fix a problem with the penis (male sex organ) called hypospadias. Hypospadias is a condition of the urethra that your child was born with. The urethra is the tube that carries urine from the bladder to the tip (end) of the penis. With hypospadias, the urethra opens on the underside of the penis instead of at the tip of it. In very bad cases, the opening may be on his scrotum (sac hanging behind the penis) or perineum. The perineum is the area between his scrotum and anus (rear end). His penis may also have a condition called chordee (downward curving) and an incomplete foreskin (skin covering the tip). This may make it hard for your child to pass urine and semen in a straight path.
- The surgery will correct the problems with your child's misplaced urethral opening, curved penis, or misshaped foreskin. During surgery, the foreskin may serve as extra skin to be used in the repair. You may choose to have you child's foreskin circumcised (removed) or repaired to look uncircumcised. Hypospadias repair is usually done when your child is 6 to 12 months old. But it may be done as early as three months, or at 3 to 4 years of age. Having this done when he is very young allows for fast healing and will not interfere with toilet-training. Depending on where the urethral opening is located, your child may have one or more surgeries. Hypospadias repair also helps prevent problems later with having erections and being able to get his partner pregnant.
- Keep a current list of your child's medicines: Include the amounts, and when, how, and why they are taken. Bring the list and the medicines in their containers to follow-up visits. Carry your child's medicine list with you in case of an emergency. Throw away old medicine lists. Give vitamins, herbs, or food supplements only as directed.
- Give your child's medicine as directed: Call your child's healthcare provider if you think the medicine is not working as expected. Tell him if your child is allergic to any medicine. Ask before you change or stop giving your child his medicines.
- Do not give aspirin to children under 18 years of age: Your child could develop Reye syndrome if he takes aspirin. Reye syndrome can cause life-threatening brain and liver damage. Check your child's medicine labels for aspirin, salicylates, or oil of wintergreen.
- Antibiotics: This medicine is given to fight an infection caused by bacteria. Give your child this medicine exactly as ordered by his healthcare provider. Do not stop giving your child the antibiotics unless directed by his healthcare provider. Never save antibiotics or give your child leftover antibiotics that were given to him for another illness.
- Pain medicine: Your child may need medicine to take away or decrease pain. Know how often your child should get the medicine and how much. Watch for signs of pain in your child. Tell caregivers if his pain continues or gets worse. To prevent falls, stay with your child to help him get out of bed.
Follow-up visit information:
Your child may need to see his caregiver in three months. This lets your child's caregiver check on your child's repaired hypospadias. Write down any questions you and your child may have. This way you will remember to ask these questions during your child's next visit. Your child may also need to have urine tests and an ultrasound test to see how his bladder is doing. A second surgery may be done if your child's hypospadias is very bad. Your child may need to have follow-up visits every few years until he is a teenager.
CONTACT A CAREGIVER IF:
- Your child has a fever.
- Your child has chills, a cough, or feels weak and achy.
- Your child is vomiting (throwing up) or is passing less urine than usual.
- Your child is irritable and crying more than usual.
- You have any questions or concerns about your child's condition, surgery, medicine, or care.
SEEK CARE IMMEDIATELY IF:
- Your child cannot pass out urine.
- Your child's bandage becomes soaked with blood.
- Your child's wound or bandage has pus or a bad smell.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.