Angelite Nurses: Hypospadias

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.

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