Type of Surgery
Last updated: 02/17/2009
Many anesthesiologists provide a penile nerve block to minimize the child's postoperative discomfort. Dressings are left in place for about four days. The surgeon places a stent, which is a short plastic tube held...
in place with temporary stitches, or a catheter to keep the urethra open. The patient is usually given a course of antibiotics to reduce the risk of infection until the dressings and the stent or catheter are removed, usually 10â€“14 days after surgery.
The child should be encouraged to drink plenty of fluids after returning home in order to maintain an adequate urinary output. Periodic follow-up tests of adequate urinary flow are typically scheduled for three weeks, three months, and 12 months after surgery.
Boys who have had any type of hypospadias repair should be followed through adolescence to exclude the possibility of chronic inflammation or scarring of the urethra. In some cases, psychological counseling may also be necessary.
Hypospadias repair is surgery to correct a birth defect in boys in which the urethra does not properly exit the tip of the penis.
For information on the condition itself, see: Hypospadias.
The surgery is done while the child is under general anesthesia (asleep and pain-free). The type of repair depends on the severity of the defect. Mild defects may be repaired in a one procedure, while severe defects may require two or more procedures.
A small piece of foreskin, or tissue from another site, can be used to create a tube to extend the length of the urethra. The urethra is the tube that releases urine from the body. Extending the length allows an opening to be placed at the tip of the penis.
Circumcision should not be performed at birth in boys with hypospadias, so that the foreskin can later be used for the repair.
It's a controversial arena -- the PSA is a marker of prostate bulk and size, but it's highly expressed in benign prostate disease as well as cancer -- so in that context it's not a specific marker.
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