Medically reviewed by Drugs.com. Last updated on Jan 5, 2023.
WHAT YOU NEED TO KNOW:
Hypospadias repair is surgery to repair your child's urethra or curved penis.
HOW TO PREPARE:
The week before your child's surgery:
- Tell your child's surgeon about all the medicines your child takes. The surgeon will tell you if you need to stop any medicine before surgery, and when to stop. You will be told which medicines to give or not give your child on the day of surgery.
- Your child may need blood or urine tests, or an ultrasound before his surgery. Talk to your child's surgeon 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:
You may be told not to give your child anything to eat or drink after midnight.
The day of your child's surgery:
- You or a close family member will be asked to sign a legal document called a consent form. It gives healthcare providers 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.
- An IV will be put into your child's vein. He may get medicine or liquids through the IV.
- An anesthesiologist will talk to you and your child before the surgery. Your child will need medicine to keep him asleep during surgery. Tell healthcare providers if anyone in your family has had a problem with anesthesia in the past.
WHAT WILL HAPPEN:
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. A new opening will then be created 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 YOUR HEALTHCARE PROVIDER IF:
- Your child has a fever.
- Your child has a cold or the flu.
- You have questions or concerns about your child's surgery.
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.
Care AgreementYou 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 healthcare providers to decide what care you want for your child.
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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.
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