Hypospadias

  1. General information
    1. Urethral opening located anywhere along the ventral surface of penis
    2. Chordee (ventral curvature of the penis) often associated, causing constriction
    3. In extreme cases, child's sex may be uncertain
  2. Medical management
    1. Minimal defects need no intervention
    2. Neonatal circumcision delayed, tissue may be needed for corrective repair
    3. Surgery performed at age 3-9 months; 2 years of age for complex repairs.
  3. Assessment findings
    1. Urinary meatus misplaced
    2. Inability to make straight stream of urine
  4. Nursing interventions
    1. Diaper normally.
    2. Provide support for parents.
    3. Provide support for child at time of surgery.
    4. Post-operatively check pressure dressing, monitor catheter drainage, assess pain.

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