Hypospadias
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An abnormal opening of the urethra
On the underside of the penis
Epispadias is on top of the penis
Called a urethral defect
Can interfere with sexual function
Surgery:
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Not done on a newborn
Boys with this abnormality would not be circumcised
Defects are usually corrected around a year old
o they want to make sure the child is growing well first
o sometimes they don’t have a testicle
they circumcise when they are doing the surgery to correct the anatomy and use the
skin to cover the old opening
they reroute the urethra to the end
they may end up with a stent or a drainage tube to allow urine to flow out to prevent
any stress on the new incision
compression dressing applied
double diaper
they will go home with a catheter and come back to have it removed
the parents may need to be taught on how to irrigate the catheter
NO BATHS FOR 2-3 WEEKS AFTER SURGERY!!!!
Kids should not straddle anything
Outpatient
Teach them to pull the foreskin back and clean very well