Hypospadias repair

What to do after Hypospadias repair

• Pain relief
  • Give paracetamol syrup for pain relief. The correct dose is on the bottle. Give every 4 hours (except when asleep) for the day of operation, then as needed after that.
  • Give any other pain relief medication as needed, as per instructions.

• Other medication may include
  • Antibiotic syrup:
    • One dose every evening while the stent (tube) is in then penis.
  • Antibiotic ointment:
    • Apply to penis every nappy change.
  • Vaseline / petroleum jelly:
    • Apply liberally to nappy after every nappy change.

• Stent / catheter
  • If there is a stent or catheter, please take great care of this and do not allow your child to pull it.
  • Double nappy technique:
    • One nappy is put in place after applying the ointment to the penis and plenty of petroleum jelly or Vaseline to the nappy.
    • The end of the catheter passes out of the first nappy, with above the waist, around the leg or through a hole in the nappy.
    • A second nappy is put on – the catheter drips into this nappy so that the penis itself remains dry.

• Bathing
  • A quick, warm, clean bath is advised 2-3 times a day for the first week or so.
  • A tablespoon of salt may be placed in the water (‘sitz baths’).
  • Change the nappy quickly if it becomes dirty and bathe if necessary.

• Activity
  • Children regulate their own activity according to how they feel after an operation.
  • Allow normal activity, play etc.
  • Avoid exposure to over boisterous activity for a few days.
  • Stay out of swimming pools, spa pools and the sea for 2 weeks.

• Follow-up
  • If a catheter is in place this will usually be removed 2 days after the operation.
  • Ongoing follow-up will be at approximately 2 weeks, 6 months then yearly.
  • Please ring if concerned.