Type of Surgery

Information

Doctor Certified

Last updated: 02/17/2009

Aftercare

Short-term aftercare

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 10–14 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.


Long-term aftercare

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.



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Other Information

Definition:

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.

Description:

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.


From http://www.pennhealth.com/ency/article/003000.htm

Other Information

In 2000, the estimated number of doctor visits and outpatient hospital visits by adults aged 20 or older with “calculus of kidney and ureters” as a listed diagnosis was of 2 million visits with urolithiasis as the primary diagnosis.


From: NKUDIC

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