Children with glanular or distal hypospadias usually he can go home between 1 – 5 (average 3) days after the operation depending on the age of the patient, the family circumstances and the degree of swelling after the surgery.
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Questions and answers about Hypospadias.
Children with glanular or distal hypospadias usually he can go home between 1 – 5 (average 3) days after the operation depending on the age of the patient, the family circumstances and the degree of swelling after the surgery.
The aim after hypospadias surgery is to fix the penis and not the child.
This means that the child can move around as soon as he is fully awake from anesthesia. He can sleep on his abdomen and lead a normal life. However care must be taken to protect the genital area and to avoid unplanned removal of the catheter.
In glanular and distal forms (Grade I,II) the dressing is usually removed 1-2 days after the operation. In proximal forms (Grade III, IV) the dressing is usually removed 7 days after the operation.
Different surgeons have different protocols:
Prof. Hadidi removes the catheter from the urethra within the first 2 days in Garde I, II hypospadias and after 7 days after proximal hypospadias (Grade III, IV) or in complicated hyposapdias.
Grade I, II receive antibiotics and local ointment for one week after surgery.
You can clean immediately after surgery with a wet towel. When you clean the penis this should be longitudinally along the wound and not across.
The idea is that we need to keep the wound clean and dry for proper healing and to avoid infection.
The wound takes one month to heal by 70 %. That is why we try to avoid swimming or bathing or sport for one month after surgery.
Ideally, we should wait for one month. However, if we can avoid trauma to the penis before, your son may go to the kindergarden earlier with special precautions.
Our standard protocol is to use 2 pampers immediately after surgery and this should continue for a month after surgery. The idea is that pampers protect the penis from trauma. However, for one week after surgery, we need to change the pampers every two hours when the child is awake. When he is asleep, we should not wake him up to change the pampers.
Our aim is to avoid trauma to the penis and the genital area for one month after surgery. Therefore, in addition to the two pampers your son is wearing, we recommend to put twofloded pampers between the seat belt and the pampers on the penis.
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