Reasons for Procedure
The surgery is done to treat male children born with hypospadias. The condition can make it difficult for the child to urinate while standing. It can also affect sexual function later in life.
The surgery is typically done at age 3-18 months old. It can also be done in older children and adults. Once the diagnosis is made, circumcision is not done. Tissue from the foreskin may be used during surgery.
Possible Complications
Complications are rare, but no procedure is completely free of risk. If your child is having a hypospadias repair, the doctor will review a list of possible complications, which may include:
- 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
- Bleeding
- Reaction to the anesthesia (eg, light-headedness, low blood pressure, wheezing)
- Infection (wound infection or urinary tract infection)
- Psychological trauma
Discuss these risks with the doctor before the surgery.
What to Expect
Prior to Procedure
The doctor may do the following:
- Physical exam
- Imaging, blood, and urine tests
- Discuss the anesthesia being used and the potential risks
Talk to the doctor about your child’s medicines and supplements. Your child may need to stop certain medicines before the surgery. The doctor may also ask that your child take certain medicines to prepare for surgery.
Your child will need to have an empty stomach before the procedure. Ask the doctor when your child will need to stop eating.
Anesthesia
General anesthesia is used during surgery. This will keep your child asleep and block any pain.
Description of Procedure
This is usually done in an outpatient setting. Your child will not need to stay in the hospital overnight.
Your child will be prepared for surgery.