|The Male Reproductive System|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Hypospadias with chordee—the opening of the urethra is on the bottom of the penis instead of at the tip of the penis. Hypospadias can make it difficult for the child to urinate while standing. It can also affect sexual function later in life.
- Shortened penis
- Need for another operation
- Reaction to the anesthesia
- Psychological trauma
What to Expect
Prior to Procedure
- Physical exam, which may include causing an artificial erection to check the degree of curvature
- Blood and urine tests
- A discussion about the anesthesia being used and the potential risks
Description of Procedure
- Releasing tight, shortened foreskin
- Suturing extra tissue on the longer side with permanent or absorbable stitches
- Cutting the lining of the urethra if the urethra is short
How Long Will It Take?
How Much Will It Hurt?
- Washing their hands
- Wearing gloves or masks
- Keeping your child's incisions covered
- Washing your hands and your child's hands often and reminding visitors and healthcare providers to do the same
- Reminding your child's healthcare providers to wear gloves or masks
- Not allowing others to touch your child's incisions
- Give medications as directed. This may include antibiotic ointment to put on the penis.
- Your child should only engage in light, gentle activities while the penis is healing.
- Keep the bandaged area clean, dry, and protected as directed.
- Follow all of the doctor’s instructions.
Call Your Doctor
- Pain that is not controlled with the medication that has been given
- Redness, increased swelling, or tenderness in the penis
- Bleeding from the penis
- Signs of infection, including fever and chills
- Nausea or vomiting
- Inability to eat or drink
- Difficulty urinating or inability to urinate
- Stitches fall out
American Academy of Pediatrics http://www.healthychildren.org
American Urological Association http://www.auanet.org
Canadian Urological Association http://www.cua.org
Health Canada http://www.hc-sc.gc.ca
Congenital penile curvature. AHRQ, National Guideline Clearinghouse website. Available at: http://www.guideline.gov/content.aspx?id=12595&search=chordee. Published March 2009. Accessed November 27, 2013.
Congenital penile curvature: chordee. Institute for Sexual Medicine website. Available at: http://sexualmed.org/index.cfm/sexual-health-issues/for-men/congenital-penile-curvature-chordee/. Accessed November 27, 2013.
Hypospadias. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated October 14, 2013. Accessed November 27, 2013.
- Reviewer: Adrienne Carmack, MD
- Review Date: 11/2013 -
- Update Date: 01/28/2014 -