Question

You care for a 3-year-old with hypospadias. After a surgical repair, he has a urethral urinary catheter inserted. You would want to teach his parents that

1) He will always have tenderness on penile erection.
2) The catheter insertion site will leave only a minimal scar.
3) He must be reevaluated at puberty for testicular function.
4) Back pressure from such drainage may result in nephrotic syndrome.

Answer 1

After surgical repair for hypospadias, a urethral catheter is inserted in a 3-year-old. It's important to correct misconceptions about the recovery process, including tenderness on penile erection, minimal scarring from the catheter insertion site, the need for reevaluation at puberty for testicular function, and the risk of nephrotic syndrome from back pressure.

Step-by-step explanation:

After a surgical repair for hypospadias, a urethral urinary catheter is inserted in a 3-year-old. To teach his parents about the recovery process, it is important to clarify some misconceptions:

1. He will not always have tenderness on penile erection: After the catheter is removed and the surgical site heals, tenderness on penile erection should not be a long-term issue.
2. The catheter insertion site will leave a minimal scar: The surgical repair is designed to minimize scarring, and in most cases, the scar will be minimal and not aesthetically significant.
3. He does not need to be reevaluated at puberty for testicular function: Hypospadias is a condition that affects the positioning of the urethral opening and does not typically impact testicular function.
4. Back pressure from drainage may result in nephrotic syndrome: Nephrotic syndrome is a kidney disorder that is not directly related to hypospadias or catheter insertion.