Doctor insights on:
Hypospadias Repair Surgery
Varies considerably: Depends upon severity of hypospadias ; whether repair can be corrected in a single or multiple stage procedure/s. Whether performed on outpatient or "admit after" basis, at a surgicenter or in a hospital operating room, from surgeon to surgeon, medical center ; geographic location ; on your medical insurance. For instance sc will be. ...Read more
Depends on severity: Hypospadias occurs with very variable severity. Some are so minor they can be corrected with a modified circumcision which should be inexpensive $3 - 500.00. Severe scrotal hypospadias with severe chordee may require staged surgery including grafts each costing $2000.00+. Most are inbetween with opening on shaft should be between $1 - 2000.00. Add or and anesthesia fees. Hope u have good insurance. ...Read more
Depends on severity: Basic principles used in repairing hypospadias in adults is same as for children. Consult a pediatric urologist or reconstructive urologist with experience. Process invokes correcting the curvature by straightening penis & advancing the opening at least as far as the glans and optimally to the tip. Surgery is performed under anesthesia & may involve skin flaps, or grafts of skin or buccal mucosa. ...Read more
Not very common: Some parents, in my opinion incorrectly, decide to postpone repair until boy is a young adult. These boys are usually full of anger and wish they had been repaired as babies. Some adults have come from countries without hypospadias surgeons. Parents of some children are advised against any surgery because defect thought to be too minor, may request repair as adults. 5% of my patients are adults. ...Read moreSee 1 more doctor answer
Is nocturnal emission normal after hypospadias repair surgery , I am 28 and i had the surgery three weeks ago ?
Pediatric Urologist: Or adult urologist with reconstruction expertise. This is a procedure performed by pediatric urologists on adults because they tend to have most experience with this kind of surgery. Hence these patients are usually referred to us by our adult urology colleagues. Always feel free to question a dr's experience with hypospadias surgery. Both you & the dr. Should feel comfortable with this question. ...Read moreSee 2 more doctor answers
Normal function: This means ability to urinate with a single, straight, forceful stream whilst standing, that you are able to function normally with respect to sex. This requires urinary opening to be on glans ; penis to be straight and to achieve a normal appearing penis. Also means without fistula, meatal stenosis or urethral stricture. Pediatric urologists have the most experience in this regard. Good luck. ...Read more
My son had hypospadias repair at age 1 and meatoplasty at 3.5, which he now needs again. Is this common? Are there possible complications for repeats?
Yes, can recur: Meatal stenosis is quite a common complication after hypospadias repair. Usually taken care by a meatoplasty. Repeat meatal stenosis has occurred which is why meatoplasty needs to be repeated. Ask your urologist whether or not a different technique will be used or whether a larger opening will be created than last time. Consider a second opinion because meatal stenosis can recur time & again. ...Read moreSee 2 more doctor answers
Create normal penis: We try to repair in single stage, unless very severe with urinary opening at the scrotum & 2 stage repair is performed. Penis is straightened & urinary opening is advanced to tip of glans if possible.Penile shaft skin is dissected down to base to straighten, graft maybe required for severe chordee, or dorsal plication.Urethra constructed from skin flaps or buccal graft. Stent or catheter for urine. ...Read moreSee 1 more doctor answer
Normal penis: Straight penis with erection. Urinary opening on the glans, as close to tip as possible. Satisfactory, single urinary stream which can be aimed and without spraying. No leak or post-void dribble. Satisfactory cosmetic result. Thus hopefully no complications such as persistent or de-novo penile curvature, urethral stricture or fistula. ...Read moreSee 1 more doctor answer
Highly successful: Hypospadias is a condition that has various levels of severity-. Distal hypospadias (hole close to the tip) is easier than the more proximal cases (hole closer to scrotum) which can require two surgeries. Complications include fistulas and meatal stenosis, and rates are higher with more proximal cases. The penis will look normal, but it may take a few surgeries. Seek a pediatric urologist. ...Read moreSee 4 more doctor answers
My son recently had hypospadias repair and now has a cyst close to the incision. Is this an emergency?
No, unless can't pee: Hopefully this is a small epidermal inclusion cyst which can easily be removed at your convenience, unless your son complains of pain or difficulty urinating. A urethral diverticulum, or outpouching can sometimes be mistaken for a cyst. This would better be corrected sooner rather than later. ...Read moreSee 1 more doctor answer
Here are some...: The timing to take shower depends on how long the surgery is done and what the surgeon prefers. The "best" answer is following the surgeon's postoperative advice; so, call to confirm. But generally speaking, start taking shower after all dressing & the catheter are removed-roughly in 1 week; before then, taking sponge bath is the right thing to do, which, though inconvenient, patient has to cope. ...Read moreSee 1 more doctor answer
My son had a hypospadias repair at 24 mos.; Is now 10 yrs and his penis has not grown but a few centimeters; Should he expect minimal penile growth?
Straight penis with: Urinary opening at or close to tip of gnas. In fact, ideally penis should look normal after after operative swelling has settled down. Subect should be able to urinate with a full and forceful stream. Hopefully avoids having either a urethral stricure, fistula (urethral leak) or persistent penile curvature. ...Read moreSee 2 more doctor answers
My son will have his operation 6days from now. But he got cough and could. Isnt still possible to go on with his operation for hypospadias surgery?
Question unclear: You shouldn't have to do anything if surgery has corrected the problem & son has had no operative or post-operative complications. Best person to answer any ?s about son's surgery is his surgeon. U have a superb urology DEpt. at National Children's Hospital in Columbus. Surgeon will likely be happy to answer ?, without charge, by phone or email. Needs 2B seen if complication has occurred. ...Read moreSee 1 more doctor answer
I had Hypospadias surgery, have anything to do with the size of my penis? I'm below avg. and want to know the best method to enlarge the size of it.
If the penis is short because of a lack of foreskin (which could happen after hypospadias repair), that can be corrected with surgery.
If the penis is curved down and is short because of that, that can be corrected with a 2 stage procedure.
If the penis is straight and has normal foreskin then I would not recommend anything done for that. ...Read more