What can be expected after treatment for hypospadias?
Many surgeons prefer that their patient not urinate through the fresh repair during the first few days after surgery. So they leave a small catheter in the penis that drains into the diaper. Antibiotics, and sometimes bladder antispasmodics , are given while the catheter is in use. In general, the younger the child, the less discomfort following repair. In fact, when the operation is done, as most pediatric urologists recommend, in boys three months to one year old they have no memory of it. Yet, even older boys tolerate this surgery well, especially with the availability of current pain medications. Modern hypospadias surgery creates a penis with good function that looks normal or nearly normal. The complication rate in boys with distal hypospadias repair is less than 10 percent. Problems can occur more often after a proximal correction. The most common dilemma after either surgery is the development of a hole – or fistula – from the urinary channel to the skin. Scarring within the ch