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Hypospadias in Children: Care Instructions


Hypospadias (say "hy-puh-SPAY-dee-us") is a birth defect. It is when the opening of the tube (urethra) that leads from the bladder is not at the tip of the penis. Instead, the opening is on the underside of the penis.

Your child will need surgery. The doctor will make a new opening. This lets urine drain as it should through the penis. Your doctor may wait a few months to do the surgery. The doctor will want to make sure that your child can handle the pain medicine.

Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if your child is having problems. It's also a good idea to know your child's test results and keep a list of the medicines your child takes.

How can you care for your child at home?

  • Be safe with medicines. Have your child take medicines exactly as prescribed. Call your doctor or nurse advice line if your child has any problems with a medicine. You will get more details on the specific medicines your doctor prescribes.
  • Go to all doctor visits so that the doctor can check your child for problems.

When should you call for help?

Call your doctor or nurse advice line now or seek immediate medical care if:

  • Your child has a rectal temperature less than 36.0°C (96.8°F).
  • Your child has a rectal temperature of 38 °C (100.4 °F) or higher. Call if you can't take your child's temperature, but your child seems hot.
  • Your baby has not urinated at least 2 times in 24 hours or shows signs of needing more fluids, such as strong-smelling urine with a dark yellow colour.
  • Your baby is rarely awake and does not wake up for feedings, is very fussy, or seems too tired or uninterested to eat.
  • Your baby does not have regular bowel movements.
  • Your baby cries in an unusual way or for an unusual length of time.
  • Your baby is fussy or seems to have pain that is not helped by acetaminophen (Tylenol) or ibuprofen (Advil, Motrin).

Watch closely for changes in your child's health, and be sure to contact your doctor or nurse advice line if your child has any problems.

Where can you learn more?

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