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Urethroplasty; Meatoplasty; Glanuloplasty
Hypospadias repair is surgery to correct a birth defect in boys in which the urethra (the tube that carries urine from the bladder to outside the body) does not end at the tip of the penis. Instead, it ends on the underside. In more severe cases, the urethra opens at the middle or bottom of the penis, or even in or behind the scrotum.
See also: Hypospadias
Hypospadias repair is usually done when boys are between 6 months and 2 years old. It is done on an outpatient basis. It rarely requires an overnight stay in the hospital.
Boys who are born with hypospadias are not circumcised at birth, so their foreskin can be used for the repair during surgery.
Before surgery, your child will receive general anesthesia. This will make him sleep and unable to feel pain during surgery. Mild defects may be repaired in one procedure. Severe defects may need two or more procedures.
The surgeon will use a small piece of foreskin or tissue from another site to create a tube that increases the length of your son's urethra. Extending the length of the urethra will allow it to open at the tip of the penis.
During surgery, the surgeon may place a catheter (tube) in the urethra to make it hold its new shape. The catheter may be sewn or fastened to the head of penis to keep it in place. It will be removed 1 - 2 weeks after surgery.
Most of the stitches (sutures) used during surgery will dissolve on their own and will not have to be removed later.
Hypospadias is one of the most common birth defects in boys. This surgery is performed on most boys who are born with hypospadias.
If repair is not done, your son may have:
Surgery is NOT needed if the condition does not affect normal urination while standing, sexual function, or the deposit of semen.
Borer JG, Retik AB. Hypospadias. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 125.
Kraft KH, Shukla AR, Canning Da. Hypospadias. Urol Clin North Am. 2010;37:167-181.
Elder JS. Anomalies of the penis and urethra. In: Klliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 544.
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