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 more
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 more
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 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 more
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 more
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 more
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 more
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. An urethral diverticulum, or outpouching can sometimes be mistaken for a cyst. This would better be corrected sooner rather than later. ...Read more
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 more
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 operative swelling has settled down. Subect should be able to urinate with a full and forceful stream. Hopefully avoids having either an urethral stricure, fistula (urethral leak) or persistent penile curvature. ...Read more
My son will have his operation 6days from now. But he got cough and could. Isn't 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. The 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 more
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.
None, but...: Physical growth naturally comes to a haul soon marching into adulthood — for men, around 18, and hypospadias repair, for most cases, should not adversely affect penile growth since most hypospadias involves the distal part of penis. For individual variation, ask your urologist if still around, or contact me at www.Healthtap.com/dr-Lin with RQPWJC to log in. ...Read more
How long after adult distal hypospadia surgery will I be able to ejaculate & or have intercourse?
4 - 6 weeks: You don't want the rear to split open. ...Read more
My 10 month old had surgery to fix his hypospadia. Surgeon said to use Bacitracian. All I have is Mupirocin. Will that work?
I am undergoing glanular hypospadias surgery, what will be the recovery time, it's effects my sex life, how many days I need to have folly iin penis.?
Ask your urologist: There are many techniques for repair. Hopefully your urologist is experienced and does at least 1/month. Most cases of glandular hypospadias do not require repair or just a minor glansplasty to correct spraying or to redirect stream. Most of my glansplasties are performed without using Foley catheter, both for patient comfort & risk of catheter tearing open the repair. Sex delay 3-4 weeks. ...Read more
I am 28 I have glan hypospadias, it's the cosmetic defect only I had two correction surgeries 1. Failed 2. Partial success, meatus is big, options?
Do nothing: Enjoy life. Glanular hypospadias is not associated either with functional or fertility issues. Big meatus can be associated with a spraying urinary stream. Or with mild urethral irritation from vaginal mucus after sex without condom, in which case would suggest urinating after sex. Repair would be cosmetic only ; any critical friend/partner/other ought to be pretty close friend to notice it! ...Read more
Doctor I need your help it's about my penis, I've born with hypospadias chordee probls I've done atleast 4 surgeries including skin graft and lenghting?
Be evaluated by...: Sorry to hear recurrent failure in hypospadias repairs. To decide if further attempt to repair is feasible & how to do it, a direct look at so to assess the local tissue availability is essential, but at this time let a urologist who is specialized in hypospadias repair — not a general urologist. Occasionally, no further repair can be done; if so, you need to adopt & adapt to what it may have been ...Read more
24, hypospadius two surgeries to repair it, 3 &12 yrs old. I have two holes that function. Problem with maintaining an erection is it related?
Urethral fistula: Your repairs were done relatively late. Presume 2nd operation needed because you chad a complication from first, likely a fistula. High recurrence rate of hypospadias fistula following repair. Suggest u consult experienced pediatric urologist. Erectile dysfunction might be related to repairs, psychological or other causes. Pediatric urologist, if uc 1, 4 fistula could refer you to local ed expert. ...Read more
Unlikely: Modern techniques for hypospadias repair involve the use of local skin flaps from the foreskin for skin coverage- there is no fat on the foreskin so any baggy tissue is from the way the skin healed. If your repair was done a long time ago, sometimes they used flaps from the scrotum or other parts of the body which had fat. The bumps you feel may also be inclusion cysts from the stitches. ...Read more
I am 33 in USA and have a mild sub coronal distal hypospadias that for was not repaired when I was a babe. Could this cause problems for me later?
Problem is unlikely: Should not be problem unless penis is significantly curved (chordee). There is mild risk of urethritis following unprotected sex as vaginal mucus can enter hypospadias urethral opening (meatus) if enlarged. Thus advice to urinate after unprotected sex. This is also good advice for women to reduce risk of urinary infection after intercourse ...Read more
Hypospadius: The "severity" of hypospadius is largely related to the position of the urethral opening. Some require no repair, while the most severe forms may require multiple surgeries. In the proper urologic hands, the majority of these boys do very well and suffer no long term consequences once repaired. ...Read more
Pediatric urologist: Sub-specialty has the most experience in correcting or advising about hypospadias. Urologist can advance urinary opening & correct significant curvature (chordee). However, requires no treatment if urinary opening is on head of penis which is straight or only minimally curved with erection. ...Read more