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Prof. Dr. Ali Avanoğlu
Hypospadias Surgery • Follow-up and Assessment

Preparing for Hypospadias Surgery

Knowing how the day of surgery will unfold significantly reduces anxiety for both the child and the family. The sections below cover every part of the preparation.

Who this is forFamilies with a scheduled surgery date
Reading≈3 min
ByProf. Dr. Ali AvanoğluUpdated
This page is part of hypospadias surgery.Read the full treatment overview on the hub page
ONE SESSIONCurvature + channel + openingin the same operation
single-stage repair
In brief5 madde
  • In the weeks before surgery: Any blood tests your doctor requests, and a urine culture if needed, are carried out.
  • The last 24 hours: Fasting times follow the anesthesia team's instructions and vary by age; as a general rule, clear fluids can be given closer to the time of surgery, while solid food…
  • Preparing your child: An age-appropriate, brief, and honest explanation works best.
  • The day of surgery: After registration and the anesthesia consultation, your child is taken into the operating room.
  • What you need to learn before discharge: When and where will the catheter be removed?
01

In the weeks before surgery

  • Any blood tests your doctor requests, and a urine culture if needed, are carried out.
  • If there is a urinary tract infection, it is treated before surgery; repair is not performed with an infected urine.
  • Tell your doctor about any medications, allergies, and previous anesthesia your child has had.
  • If pre-operative testosterone treatment has been planned, it is started during this period.
  • Any family history of a bleeding disorder must always be mentioned.
02

The last 24 hours

Fasting times follow the anesthesia team's instructions and vary by age; as a general rule, clear fluids can be given closer to the time of surgery, while solid food is stopped earlier.

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  • This instruction is for safety: anesthesia risk rises when the stomach is full, and surgery would then be postponed.
  • If your child is unwell — fever, cough, diarrhea — always let the team know. Even what looks like a mild upper respiratory infection can require postponing surgery for anesthesia reasons.
03

Preparing your child

An age-appropriate, brief, and honest explanation works best. Young children don't need details; a sentence like "the doctor is going to fix your penis, you'll be asleep, and your mother will be next to you when you wake up" is enough.

  • A favorite toy or blanket
  • Spare diapers, and loose, roomy clothing
  • The surgical report and test results
  • Any medications your child is taking
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  • Whatever you promise should hold true. Instead of absolute statements like "it won't hurt at all," saying "it might hurt a little, but we'll give you medicine for it" preserves trust.
  • Bring along a favorite toy or blanket; in most centers your child can keep it right up until going into the operating room.
04

The day of surgery

After registration and the anesthesia consultation, your child is taken into the operating room. In many centers, one parent can stay with the child until the moment they fall asleep.

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  • Surgery time ranges from 1 to 4 hours depending on the scope of the repair. This covers not just the surgical time itself but also preparation and waking up; the time in the waiting room can feel even longer.
  • In the recovery room, your child may be restless — this is a known and temporary effect of anesthesia.
05

What you need to learn before discharge

  • When and where will the catheter be removed?
  • How long does the dressing need to stay intact?
  • Which pain medicine, at what dose, and how often?
  • When can bathing start?
  • Under what circumstances should we call right away?
  • When is the first follow-up visit?
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Frequently asked questions
What happens if surgery is postponed?
Postponement due to infection or fever is common and not a problem. It exists precisely so surgery isn't performed under risky conditions.
Can we go home the same day?
Most distal repairs need only a day-case stay or a single overnight stay. Proximal and staged repairs may require one or two additional nights.
Can we bring a sibling along?
Since waiting times are long, this is best avoided if possible; a parent who can focus fully on the child makes the process easier.
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