|The Male Reproductive System|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- A new opening on the underside of the penis called a fistula, causing urine leakage
- Scarring/narrowing of the urethra that makes it difficult to urinate
- Need for more surgery
- Reaction to the anesthesia
- 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?
- Washing their hands
- Wearing gloves or masks
- Keeping your child's incisions covered
- Washing your hands and your child's hands often and reminding visitors and healthcare providers to do the same
- Reminding your child's healthcare providers to wear gloves or masks
- Not allowing others to touch your child's incisions
- Give your child medications 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 medication 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.healthychildren.org
American Urological Association http://www.auanet.org
Canadian Urological Association http://www.cua.org
Health Canada http://www.hc-sc.gc.ca
Hypospadias. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated October 14, 2013. Accessed December 2, 2013.
Hypospadias/chordee. Cincinnati Children’s Hospital website. Available at: http://www.cincinnatichildrens.org/health/info/urinary/diagnose/hypospadias.htm. Updated June 2013. Accessed December 2, 2013.
Hypospadias: guidelines in pediatric urology. AHRQ, National Guideline Clearinghouse website. Available at: http://www.guideline.gov/content.aspx?id=12594. Accessed December 2, 2013.
- Reviewer: Adrienne Carmack, MD
- Review Date: 12/2013 -
- Update Date: 01/28/2014 -