Fistula Repair/ Cystoscopy/ Meatoplasty- Infants and Younger Boys

Depending on the doctors' preference, there may or may not be any bandage. Coban, clear tape, or steri-strips may be applied to surgical site. It is normal to see bruising, discoloration, some bleeding for a few days, and swelling along the penis or scrotum after this surgery. 

Apply Aquaphor to the incision line for 6 weeks, several times a day to help with itching while the penis heals. 

 

BATHING AND SHOWERING: 

You may bathe on the 5th day after surgery. Sometimes soaking in a bath/shower will help loosen the bandages to make them easier to remove. If there is discomfort or apprehension during the first urination attempts, soaking in a tub will help ease any discomfort and make it easier to pass urine. 

 

MEDICATIONS: 

Infants (Patients under 1 year of age): 

• Ibuprofen (Motrin/ Advil) and Acetaminophen (Tylenol) are the only medications needed to control pain after surgery. 

Older Boys: 

• Motrin and Tylenol are given on an alternating schedule every 3 hours, which will be provided to you separately after surgery. This schedule is recommended for the first 48 hours after surgery and can be continued as needed for discomfort. 
• Ibuprofen (Motrin/ Advil) and Hycet (liquid narcotic also containing Tylenol), or Norco (oral narcotic also containing Tylenol), or plain Tylenol (acetaminophen). 
• Hycet and Motrin are given on an alternating schedule every 3 hours, which will be provided to you separately after surgery. This schedule is recommended for the first 48 hours after surgery. After that, you can switch to alternating ibuprofen and Tylenol as needed for discomfort. 

 

PHYSICAL ACTIVITY: 

Babies:

No use of straddle toys such as jumpers or any baby wearing for 2 weeks. 

Toddlers and older children: 

No use of straddle toys such as jumpers or bicycles, or any swimming for 2 weeks. No coach directed sports/activities for 6 weeks following surgery for older boys. 

 

FEVER AFTER SURGERY: 

Temperature as high as 101 F can be normal the first night after surgery. 

Fevers and irritability for the first few days after surgery may indicate a virus or ear, throat, or lung 

infection especially if you traveled for surgery and were exposed to illness. Contact your primary care physician if this occurs. 

Urine infections with fever are very rare after these repairs and do not occur until about 1 week after surgery. 

 

CONCERNS: 

Emergencies are rare after these repairs. Most concerns are not urgent and during normal business hours you may direct any questions or concerns to care@hypospadias.com. 

We encourage you to first review post-operative pictures on our website before calling if you are worried about the appearance of the wound or bandages. -The password to these photos is "PARC" (all caps). 

Please call 214-618-4405 at any time for emergent/urgent questions or concerns to speak with a clinical staff. If it is after hours, you will be directed to follow the prompts to connect with one of our doctors. 

***Please DO NOT go to the emergency room for problems without first contacting our office! Doctors in the emergency room are not surgeons and may not know what the wounds should look like after this surgery.

Many times, an emailed picture of the area of concern is all we need to help answer your questions. 

Most patients recover from this operation without complications. Typically, no special wound care is needed during this recovery. 

 

STITCHES 

There are no stitches that require removal. When stitches are used, they are dissolvable and may appear as redness or "pimple like" bumps as they heal, which is normal. 

 

WOUND 

Urgent issues that need immediate attention - be sure to call the office to discuss OR send an inquiry to care@hypospadias.com along with photos.