No medicine will correct a chordee or hypospadias, and the child will not outgrow these conditions. Surgery may be recommended and surgical outcomes are improved when performed by an experienced pediatric urologist.
The goals of the surgery are:
- To bring the urethral opening to the tip of the penis to allow a controlled stream of urine while standing
- To straighten the penis (if a chordee is present) to minimize the risk of painful intercourse
At birth, it is not recommended your child undergo a circumcision because the foreskin may need to be used for the surgical repair. A pediatric urologist may recommend hypospadias surgery between 6-24 months of age. However, the surgery can be done at a later age.
The surgery is usually done on an outpatient basis. In more severe forms of hypospadias surgical repair may need to be done in multiple stages. Most hypospadias surgeries may create a penis that functions well for urinary and sexual purposes.
Surgery for Hypospadias
The surgery is done while the patient is asleep, under general anesthesia. Sometimes, the surgeon may prefer that the child not urinate through the repaired urethra during the first few days. A small plastic tube, called a catheter, is anchored to the head of the penis with stitches. This allows the urine to flow out without coming into contact with the repair. This tube is removed in seven to 14 days in the office without causing the patient much discomfort.
A dressing is wrapped around the shaft of the penis at the end of the surgery. This will help reduce the expected swelling and make your child more comfortable.
Your child will get antibiotics (medicine that will kill bacteria) and may get a medicine to stop bladder spasms.
Hypospadias surgery may be very successful, but there are some potential complications. In some cases, a hole or a fistula may occur and urine may leak through the hole. The urethra would need more surgery to repair this. Scarring within the urethra may occur and cause the urethra to narrow. This may interfere with the passage of urine and would also need to be corrected with surgery.
Patients may need to return for checkups until after puberty.