|The Male Reproductive System|
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Reasons for Procedure
- A new opening on the underside of penis forms, causing urine leakage
- Scarring/narrowing of the urethra (making it difficult to urinate)
- Need for more surgery
- Reaction to the anesthesia (eg, light-headedness, low blood pressure, wheezing)
- Infection (wound infection or urinary tract infection)
- Psychological trauma
What to Expect
Prior to Procedure
- Physical exam
- Imaging, blood, and urine tests
- Discuss the anesthesia being used and the potential risks
Description of Procedure
- Divert the tube to the correct position
- Widen the tube (if needed)
How Long Will It Take?
How Much Will It Hurt?
- Give your child medicines as directed.
- Encourage light, gentle play while the penis is healing.
- Change the drainage bag or diaper as directed.
- Keep the bandaged area clean, dry, and protected. Bandages will be removed at your child’s first visit after the procedure.
- Ask the doctor about when it is safe for your child to shower, bathe, or soak in water.
- Follow all of the doctor’s instructions.
Call Your Child’s Doctor
- Pain that is not controlled with medicine given
- Redness, increased swelling, or tenderness in the penis
- Signs of infection, including fever and chills
- Nausea or vomiting
- Inability to eat or drink
- Difficulty urinating or cannot urinate
- Catheter or stitches fall out
American Academy of Pediatrics http://www.aap.org/
American Urological Association http://www.auanet.org/
Canadian Urological Association http://www.cua.org/
Health Canada http://www.hc-sc.gc.ca/index-eng.php/
Agency for Healthcare Research and Quality (AHRQ), National Guideline Clearinghouse. Hypospadias: guidelines in pediatric urology. AHRQ, National Guideline Clearinghouse website. Available at: http://www.guideline.gov/content.aspx?id=12594 . Accessed August 13, 2010.
Borer J, Retik A. Hypospadias. In: Wein AJ, ed. Campbell-Walsh Urology . 9th ed. Philadelphia, PA: Saunders Elsevier; 2007: chap 125.
Cincinnati Children’s Hospital. Hypospadias/chordee. Cincinnati Children’s Hospital website. Available at: http://www.cincinnatichildrens.org/health/info/urinary/diagnose/hypospadias.htm . Accessed August 16, 2010.
DynaMed Editorial Team. Hypospadias. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated June 2, 2010. Accessed August 19, 2010.
Mayo Clinic. Hypospadias. Mayo Clinic website. Available at: http://www.mayoclinic.com/health/hypospadias/DS00884 . Updated January 22, 2009. Accessed August 13, 2010.
- Reviewer: Adrienne Carmack, MD
- Review Date: 09/2012 -
- Update Date: 00/92/2012 -