Hypospadias repair: Taking care of your child at home after the operationHHypospadias repair: Taking care of your child at home after the operationHypospadias repair: Taking care of your child at home after the operationEnglishUrologyNewborn (0-28 days);Baby (1-12 months);Toddler (13-24 months)Urethra;PenisPenis;UrethraNon-drug treatmentCaregivers Adult (19+)NA2019-11-12T05:00:00ZCathy Daniels, RN, MN7.8000000000000065.80000000000001735.00000000000Health (A-Z) - ProcedureHealth A-Z<p>This page explains how to care for your child at home after he has had a hypospadias repair operation.</p><p>Your child has had a hypospadias repair operation. This procedure aims to straighten the penis and move the penis's opening (called the 'meatus') to the tip of the penis.</p><p>After a hypospadias operation, most children go home the same day. Here is some information you can use to help you care for your child at home after his surgery.</p> <figure class="asset-c-80"> <span class="asset-image-title">Hypospadias</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Hypospadias_MED_ILL_EN.png" alt="Identification of the meatus (opening), foreskin, glans, urethra and scrotum in a normal penis and a penis with hypospadias" /> <figcaption class="asset-image-caption">Usually, the opening of the urethra, or meatus, is at the tip of the penis. In children with hypospadias, the opening of the urethra can be located at various positions along the underside of the penis. The foreskin may not completely close over the head of the penis. The location of the urethral opening can range from just below the usual position on the glans to between or underneath the scrotum.</figcaption> </figure><h2>Key points</h2> <ul> <li>After a hypospadias operation, most children go home the same day. </li> <li>Your child may have some pain and fever for a day or two after the operation. </li> <li>Your child will probably have a stent or catheter, which is a small tube that comes out of the end of the penis after the surgery. </li> <li>Your child will have one or more bandages on his penis. Instructions for the removal of these will be given to you after the surgery. </li> <li>Your child will need follow-up appointments after surgery.</li> </ul><h2>A stent: caring for the tube inside your child’s penis</h2> <p>Your child may have a plastic tube called a stent in his urethra at the end of the surgery. This stent helps urine to drain from the bladder in the days following the surgery. </p> <p>The stent is often held in place with a stitch, but may also be taped in place. If there is a stitch holding the stent in place, you will be instructed to bring your child back to the urology clinic to have it removed one to two weeks after the surgery. This can also be done by your child's primary health-care provider if you are unable to return to the clinic. </p> <p>Sometimes, the stent falls out at home. This is not an emergency, as long as your child is able to pee normally. If he is unable to pee, please take him to the nearest emergency unit for assessment. If the stent is dangling from the penis by the stitch, please contact the urology nurse (or your primary care provider) to arrange a time to have the stitch removed.<br></p> <h2>Some children may need a catheter</h2> <p>Depending on how complex the hypospadias repair operation was, your child may have a <a href="/Article?contentid=1246&language=English">catheter</a> instead of, or as well as, a stent. A catheter is a tiny plastic tube that goes into the bladder to drain urine out of the body. </p> <h3>Foley catheter</h3> <p>Some children have a Foley catheter placed in the urethra instead of the stent. If this is the case, it will likely stay in for up to two weeks. </p> <h3>Suprapubic catheter</h3> <p>More rarely, a child may have a suprapubic catheter. This catheter is surgically placed between the bladder and the outside of the belly. It drains urine to an attached bag. A suprapubic catheter is removed about one week after either the Foley catheter or stent has been removed from the urethra. If your child has a suprapubic catheter, you will be given more information on how to care for it. </p> <p>To learn more, please read <a href="/Article?contentid=1246&language=English">Urinary catheter: Care at home</a>.</p><h2>At SickKids</h2><p>You will be issued with a printed After Visit Summary after your child’s surgery, covering everything discussed above.</p><p>If your child has a high fever, uncontrolled pain, or there is no pee coming from the stent, please contact the Urology Clinic at SickKids or your child’s regular health-care provider if you live far away from SickKids. You can visit your local Emergency Room or the Hospital for Sick Children Emergency Department. If you have any questions, you may also contact your family physician or paediatrician.</p><h2>Resources</h2><p><a href="https://assets.aboutkidshealth.ca/AKHAssets/Hypospadias_atlas.pdf">Hypospadias Repair Atlas</a> — This handout shows the normal stages of healing that occur after hypospadias repair. It shows how healing can look different in different patients.</p><p>Please see the <a href="https://dbagli.wixsite.com/hypospadiassurgery">SickKids hypospadias website</a>, which contains photographs and more information about what to expect after the surgery.</p>
ஆண்குறியின் நிலையைச் சரிப்படுத்துதல் (ஹைபொஸ்பாடியாஸ்): அறுவைச் சிகிச்சையின் பின் உங்கள் பிள்ளையை வீட்டில் பராமரித்தல்ஆண்குறியின் நிலையைச் சரிப்படுத்துதல் (ஹைபொஸ்பாடியாஸ்): அறுவைச் சிகிச்சையின் பின் உங்கள் பிள்ளையை வீட்டில் பராமரித்தல்Hypospadias Repair: Taking Care of Your Child at Home After the OperationTamilNAChild (0-12 years);Teen (13-18 years)NANANAAdult (19+)NA2009-11-17T05:00:00ZCathy Daniels, RN, MN000Flat ContentHealth A-Z<p>சிறுநீர்க் குழாய் நிலையை சரிபடுத்தல் - அறுவை சிகிச்சைக்கு பிறகு ஆண் குறியின் நிலை சிகிச்சை.</p>
اصلاح المبال/الإحليل التحتاني: رعاية طفلك في المنزل بعد العمليةااصلاح المبال/الإحليل التحتاني: رعاية طفلك في المنزل بعد العمليةHypospadias repair: Taking care of your child at home after the operationArabicUrologyNewborn (0-28 days);Baby (1-12 months);Toddler (13-24 months)Urethra;PenisPenis;UrethraNon-drug treatmentCaregivers Adult (19+)NA2009-11-17T05:00:00ZCathy Daniels, RN, MN7.0000000000000068.00000000000001250.00000000000Flat ContentHealth A-Z<p>مبال تحتاني: يزيحون عمليات إصلاح المبال التحتاني فتحة القضيب الى المكان الصحيح. احصل على معلومات عن جراحة القضيب عند الرضيع.</p>
尿道下裂修复:手术后在家照顾你的孩子尿尿道下裂修复:手术后在家照顾你的孩子Hypospadias repair: Taking care of your child at home after the operationChineseSimplifiedNAChild (0-12 years);Teen (13-18 years)NANANAAdult (19+)NA2009-11-17T05:00:00ZCathy Daniels, RN, MN68.00000000000007.000000000000001250.00000000000Flat ContentHealth A-Z本页面介绍了如何在家里照顾做完尿道下裂修复手术后的孩子。
尿道下裂修復術:術後兒童家庭護理尿尿道下裂修復術:術後兒童家庭護理Hypospadias Repair: Taking Care of Your Child at Home After the OperationChineseTraditionalNAChild (0-12 years);Teen (13-18 years)NANANAAdult (19+)NA2009-11-17T05:00:00ZCathy Daniels, RN, MN68.00000000000007.000000000000001250.00000000000Flat ContentHealth A-Z了解幼兒尿道下列症狀和治療方法,學習尿道下裂修復術術後護理知識
Hypospadias: soins à domicile après l’opération de correctionHHypospadias: soins à domicile après l’opération de correctionHypospadias repair: Taking care of your child at home after the operationFrenchUrologyNewborn (0-28 days);Baby (1-12 months);Toddler (13-24 months)Urethra;PenisPenis;UrethraNon-drug treatmentCaregivers Adult (19+)NA2009-11-17T05:00:00ZCathy Daniels, RN, MN7.0000000000000068.00000000000001250.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Cette page explique comment prendre soin de votre enfant à la maison après une opération de correction de l’hypospadias.</p><p>Votre enfant s’est fait opérer pour corriger l’hypospadias. Cette intervention a pour but de déplacer le méat (ouverture) du pénis pour qu’il soit au bon endroit et que votre enfant puisse uriner plus facilement.</p><p>À la suite d’une opération de l’hypospadias, la plupart des enfants retournent à la maison le même jour. Voici quelques conseils utiles pour aider à la guérison de votre enfant une fois à la maison.</p> <figure class="asset-c-80"><span class="asset-image-title">Hypospadias</span><img src="https://assets.aboutkidshealth.ca/akhassets/Hypospadias_MED_ILL_FR.png" alt="L’emplacement du prépuce, du gland, du méat, de l’urètre et du scrotum dans un pénis normal et dans un pénis avec hypospadias" /><figcaption class="asset-image-caption">Habituellement, l'ouverture de l'urètre, ou le méat, se trouve à l'extrémité du pénis. Chez les enfants qui sont atteints d'hypospadias, l'ouverture de l'urètre peut se situer à divers endroits sur la face antérieure du pénis. Il est possible que le prépuce ne recouvre pas complètement la tête du pénis. L'emplacement de l'ouverture de l'urètre peut varier; elle peut se situer juste en dessous de l'emplacement habituel mais peut également se trouver en dessous du scrotum.</figcaption></figure><h2>À retenir</h2> <ul> <li>Après une opération de correction d’hypospadias, la plupart des garçons retournent à la maison le même jour.</li> <li>Votre enfant pourrait être aux prises avec des douleurs et de la fièvre pendant une journée ou deux après l’opération.</li> <li>Un petit tube sortira du pénis de votre enfant. Certains enfants devront aussi porter un cathéter.</li> <li>Le pansement de votre enfant pourrait se détacher dans le bain. Dans le cas contraire, vous devrez l’enlever dans les deux jours (48 heures) après l’opération.</li> <li>Il faudra deux rendez-vous de suivi pour votre enfant.</li> </ul><h2>Endoprothèse : soin tube dans le pénis de votre enfant</h2> <p>Un tube de plastique, appelé endoprothèse, sera installé dans l’urètre de votre enfant. Le tube sert à garder l’urètre ouvert, pour assurer une bonne guérison. L’urètre, c’est le conduit à l’intérieur du pénis qui transporte l’urine en provenance de la vessie.</p> <p>L’endoprothèse est maintenue en place avec des points de suture. Vous devrez retourner à la clinique d’urologie avec votre enfant pour faire retirer les points et l’endoprothèse, après environ une semaine à 10 jours après l’opération.</p> <p>Il arrive parfois que l’endoprothèse tombe d’elle-même à la maison. Si tel est le cas, appelez la clinique d’urologie à l’hôpital.</p> <h2>Certains enfants ont besoin d'un cathéter</h2> <p>Selon la complexité de l’opération qui visait à corriger l’hypospadias, on pourrait installer un cathéter en remplacement de l’endoprothèse, ou en même temps que celle-ci. Un cathéter, c’est un petit tube de plastique qui draine la vessie.</p> <h3>Sonde de Foley</h3> <p>Pour certains enfants, on installera une sonde de Foley dans l’urètre au lieu de l’endoprothèse. Si tel est le cas, le cathéter demeurera en place probablement jusqu’à deux semaines.</p> <h3>Cathéter sus-pubien</h3> <p>Dans de rares cas, il faut installer un cathéter sus-pubien. Ce cathéter est installé au moyen d’une opération entre la vessie et l’extérieur du ventre. Il draine l’urine, qui s’écoule dans un sac attaché au ventre. On retire le cathéter sus­-pubien environ une semaine après que la sonde de Foley ou l’endoprothèse ait été retirée de l’urètre. Si votre enfant porte un cathéter sus-pubien, on vous donnera des renseignements additionnels sur le soin de ce cathéter. </p><h2>À l’hôpital SickKids <br></h2><p>Si votre enfant a beaucoup de fièvre, des douleurs incontrôlables, des spasmes vésicaux ou que l'urine ne s'écoule pas de l'endoprothèse, appelez le service d'urologie au 416-813-6661 et demandez à parler à un infirmier.​</p>
Reparación de hipospadias: cuidado del niño en casa después de la operaciónRReparación de hipospadias: cuidado del niño en casa después de la operaciónHypospadias Repair: Taking Care of Your Child at Home After the OperationSpanishNAChild (0-12 years);Teen (13-18 years)NANANAAdult (19+)NA2009-11-17T05:00:00ZCathy Daniels, RN, MN000Flat ContentHealth A-Z<p>Esta página explica el tratamiento y los cuidados postoperatorios que debe tener su niño en casa después de una cirugía en el pene de hipospadias.</p>
بچے کی پیشاب کی نالی کے پیـچھے کی طرف کھلنے کی مرمت : آپریشن کے بعد اپنےبچے کی گھر میں نگہداشت کرناببچے کی پیشاب کی نالی کے پیـچھے کی طرف کھلنے کی مرمت : آپریشن کے بعد اپنےبچے کی گھر میں نگہداشت کرناHypospadias Repair: Taking Care of Your Child at Home After the OperationUrduNAChild (0-12 years);Teen (13-18 years)NANANAAdult (19+)NA2009-11-17T05:00:00ZCathy Daniels, RN, MN68.00000000000007.000000000000001250.00000000000Flat ContentHealth A-Z<p>معلوم کریں کہ اپنے بچے کے ہائپو اسپیڈیا کو ٹھیک کرنے کے آپریشن کے بعد گھر پر اس کی نگہداشت کیسے کریں، اور ہائپو اسپیڈیا کا مناسب علاج کیا ہے۔</p>

 

 

 

 

Hypospadias repair: Taking care of your child at home after the operation1215.00000000000Hypospadias repair: Taking care of your child at home after the operationHypospadias repair: Taking care of your child at home after the operationHEnglishUrologyNewborn (0-28 days);Baby (1-12 months);Toddler (13-24 months)Urethra;PenisPenis;UrethraNon-drug treatmentCaregivers Adult (19+)NA2019-11-12T05:00:00ZCathy Daniels, RN, MN7.8000000000000065.80000000000001735.00000000000Health (A-Z) - ProcedureHealth A-Z<p>This page explains how to care for your child at home after he has had a hypospadias repair operation.</p><p>Your child has had a hypospadias repair operation. This procedure aims to straighten the penis and move the penis's opening (called the 'meatus') to the tip of the penis.</p><p>After a hypospadias operation, most children go home the same day. Here is some information you can use to help you care for your child at home after his surgery.</p> <figure class="asset-c-80"> <span class="asset-image-title">Hypospadias</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Hypospadias_MED_ILL_EN.png" alt="Identification of the meatus (opening), foreskin, glans, urethra and scrotum in a normal penis and a penis with hypospadias" /> <figcaption class="asset-image-caption">Usually, the opening of the urethra, or meatus, is at the tip of the penis. In children with hypospadias, the opening of the urethra can be located at various positions along the underside of the penis. The foreskin may not completely close over the head of the penis. The location of the urethral opening can range from just below the usual position on the glans to between or underneath the scrotum.</figcaption> </figure><h2>Key points</h2> <ul> <li>After a hypospadias operation, most children go home the same day. </li> <li>Your child may have some pain and fever for a day or two after the operation. </li> <li>Your child will probably have a stent or catheter, which is a small tube that comes out of the end of the penis after the surgery. </li> <li>Your child will have one or more bandages on his penis. Instructions for the removal of these will be given to you after the surgery. </li> <li>Your child will need follow-up appointments after surgery.</li> </ul><h2>Caring for your child’s fever or pain</h2><p>As with almost any operation, many children get a <a href="/Article?contentid=30&language=English">fever</a> on the first day after the procedure. It is also normal for children to have some pain in the first few days after an operation. </p><p>If your child has a fever or mild pain after his operation, give him <a href="/Article?contentid=62&language=English">acetaminophen</a> or <a href="/Article?contentid=153&language=English">ibuprofen</a>. Always read the label on the medicine bottle and follow the instructions. </p><p>Do not give your child <a href="/Article?contentid=77&language=English">acetylsalicylic acid (ASA)</a>.</p><p>If your child has more severe pain or if these medications do not help, your child may also be prescribed <a href="/Article?contentid=194&language=English">morphine</a>. Make sure you read the label on the bottles of medicine to find out how often you should give your child each medicine. Follow these instructions exactly. If you have concerns, talk to your pharmacist or to the nurse at the urology clinic. </p><h2>Removing the dressings after the operation</h2><p>If your child underwent a first-stage hypospadias repair with a graft, the dressing instructions below will not apply to him. You will be given instructions to return to the clinic nurse to have his dressings changed and his catheter removed.</p><p>Your child may have a beige dressing (called Coban) wrapped around his penis at the end of the surgery. This should usually be removed the day after the surgery. The edge of the dressing will be marked.</p><p>There is usually a plastic dressing that looks like cling-film covering the penis. This dressing will loosen as it gets exposed to water in his baths, and detach with time. If it is not yet detached when he comes for his stent removal, the nurse may remove it then. You do not need to try to pull this dressing off.</p><p>Beneath the plastic film, there may be some surgical glue that looks a bit like nail varnish. This will peel off on its own in one to two weeks.</p><p>Please bathe your child according to your surgeon’s instructions. After each bath, you may pat your child dry.</p><p>You should apply Vaseline or Polysporin, once again as per your surgeon’s instructions, to the penis after each bath.</p><h2>Double diapers</h2><p>It is not necessary for all children to ‘double diaper’ after hypospadias repair. However, if your child’s stent or catheter is long enough, you can double diaper him. This means he will wear two diapers, one over the other. First, diaper him as always but leave the end of the stent hanging out of the diaper. Then put the second diaper over top of the first, with the end of the stent sandwiched between the two, so that the pee can drip into the second diaper. </p><p>If the tube coming out of your child’s penis is not long enough to do this, just diaper him as you normally would.</p><h2>There may be a little bleeding</h2><p>You may see a little bleeding at the incision sites. This is more likely to happen if your child bumps or bangs himself. A little bleeding is normal. You may see a small amount of blood when you change your child’s diaper in the first few days. </p><p>If there is a lot of bright red blood or active bleeding when you get home from the hospital, press firmly with your hand on your child’s penis right away. Keep pressing for 15 minutes and call the urology clinic or take your child to the nearest emergency unit. </p><h2>Eating and drinking after the operation</h2><p>Your child needs to have plenty of liquids after the operation. He should drink more than he normally would when he gets home from the hospital. </p><p>Morphine and other medicines may cause your child to become constipated. Constipation means problems having a bowel movement (poo). It is important to avoid this. If your child becomes constipated, he may push too hard when he has a bowel movement. This can cause pain. Your child may need stool softeners, such as PEG (Restoralax), to help him have regular bowel movements in the days after the surgery. If your child is too young to take PEG, glycerine suppositories may be useful if he becomes temporarily constipated. </p><p>Drinking lots of water will help. Your child should also eat foods that have lots of fibre. These include whole grain breads and fresh fruits. These foods will prevent constipation while your child is less active and recovering.<br></p><p>To learn more, please read <a href="/Article?contentid=964&language=English">Higher fibre diet</a>.</p><h2>Your child’s activity</h2><p>Your child should wear supportive underwear or diapers. Your child can be placed in his car seat or stroller as usual.</p><p>He may play as usual, but should avoid toys he has to straddle for the first several weeks after surgery. Once your child is feeling better, he can return to activity and day care or school as usual.</p><p>Your child should avoid communal water and lakes for the first few days after surgery.</p><h2>Bladder spasms</h2><p>Having a catheter in the bladder can sometimes cause spasms. These spasms may cause pee to leak from the penis. Spasms are also uncomfortable. If your child cannot cope with his bladder spasms, call the urology nurse. Medication is available to help prevent bladder spasms. Keeping your child’s catheter draining freely will also help. Your nurse will discuss with you the best way to treat bladder spasms at home. </p><p>If you have urgent questions about your child’s care at home, call the urology clinic.</p><h2>Follow-up appointments</h2><p>Follow-up appointments will be arranged for your child for:<br></p><h3>Removing the stent</h3><p>If your child has a stent that is sutured in place, this will be removed one to two weeks after surgery. Usually, your surgeon will arrange for the nurse in the urology clinic to do this, but if you live far away or it is difficult to return to the hospital, the stent can also be removed by your child’s health-care provider.</p><h3>Checking the surgical site<br></h3><p>About three months after his operation, you will bring your child back to the clinic for a follow-up appointment to see how things are going. Your surgeon may also arrange another future follow-up after that.</p><h2>A stent: caring for the tube inside your child’s penis</h2> <p>Your child may have a plastic tube called a stent in his urethra at the end of the surgery. This stent helps urine to drain from the bladder in the days following the surgery. </p> <p>The stent is often held in place with a stitch, but may also be taped in place. If there is a stitch holding the stent in place, you will be instructed to bring your child back to the urology clinic to have it removed one to two weeks after the surgery. This can also be done by your child's primary health-care provider if you are unable to return to the clinic. </p> <p>Sometimes, the stent falls out at home. This is not an emergency, as long as your child is able to pee normally. If he is unable to pee, please take him to the nearest emergency unit for assessment. If the stent is dangling from the penis by the stitch, please contact the urology nurse (or your primary care provider) to arrange a time to have the stitch removed.<br></p> <h2>Some children may need a catheter</h2> <p>Depending on how complex the hypospadias repair operation was, your child may have a <a href="/Article?contentid=1246&language=English">catheter</a> instead of, or as well as, a stent. A catheter is a tiny plastic tube that goes into the bladder to drain urine out of the body. </p> <h3>Foley catheter</h3> <p>Some children have a Foley catheter placed in the urethra instead of the stent. If this is the case, it will likely stay in for up to two weeks. </p> <h3>Suprapubic catheter</h3> <p>More rarely, a child may have a suprapubic catheter. This catheter is surgically placed between the bladder and the outside of the belly. It drains urine to an attached bag. A suprapubic catheter is removed about one week after either the Foley catheter or stent has been removed from the urethra. If your child has a suprapubic catheter, you will be given more information on how to care for it. </p> <p>To learn more, please read <a href="/Article?contentid=1246&language=English">Urinary catheter: Care at home</a>.</p><h2>At SickKids</h2><p>You will be issued with a printed After Visit Summary after your child’s surgery, covering everything discussed above.</p><p>If your child has a high fever, uncontrolled pain, or there is no pee coming from the stent, please contact the Urology Clinic at SickKids or your child’s regular health-care provider if you live far away from SickKids. You can visit your local Emergency Room or the Hospital for Sick Children Emergency Department. If you have any questions, you may also contact your family physician or paediatrician.</p><h2>Resources</h2><p><a href="https://assets.aboutkidshealth.ca/AKHAssets/Hypospadias_atlas.pdf">Hypospadias Repair Atlas</a> — This handout shows the normal stages of healing that occur after hypospadias repair. It shows how healing can look different in different patients.</p><p>Please see the <a href="https://dbagli.wixsite.com/hypospadiassurgery">SickKids hypospadias website</a>, which contains photographs and more information about what to expect after the surgery.</p>https://assets.aboutkidshealth.ca/akhassets/Hypospadias_MED_ILL_EN.pngHypospadias repair: Taking care of your child at home after the operationFalse