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Urethroplasty; Meatoplasty; Glanuloplasty
Right after surgery, your son's penis will be taped securely to his belly so that it does not move.
Often, a bulky dressing or plastic cup is placed over the penis to protect the surgical area. A urinary catheter (a tube used to drain urine from the bladder) will exit the dressing to allow urine to flow freely into the diaper.
Your child will be encouraged to drink fluids so that he will urinate. Urinating will keep pressure from building up in the urethra.
Your son may be given medicine to relieve pain.
You will probably be able to take your child home the same day as the surgery. If you live a long way from the hospital, you might want to stay in a hotel near the hospital the first night.
This surgery lasts a lifetime. Most children do well after this surgery. Your son's penis will look almost or completely normal. It will also work almost or completely normally.
If your child has a complicated hypospadias, he may need more operations to improve the penis' appearance or to repair a hole or narrowing in the urethra.
Follow-up visits with a urologist (a doctor who specializes in the treatment and surgery of the urinary system) may be needed once your son has healed from surgery. Sometimes a visit is needed when boys reach puberty.
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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