Hypospadias
- General information
- Urethral opening located anywhere along the ventral surface of penis
- Chordee (ventral curvature of the penis) often associated, causing constriction
- In extreme cases, child's sex may be uncertain
- Medical management
- Minimal defects need no intervention
- Neonatal circumcision delayed, tissue may be needed for corrective repair
- Surgery performed at age 3-9 months; 2 years of age for complex repairs.
- Assessment findings
- Urinary meatus misplaced
- Inability to make straight stream of urine
- Nursing interventions
- Diaper normally.
- Provide support for parents.
- Provide support for child at time of surgery.
- Post-operatively check pressure dressing, monitor catheter drainage, assess pain.
Monday, May 19, 2008 | Labels: genitourinary tract disorder |
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