Will scar reopening after surgery cause urinary problem in hypospadias patient?

Hi,

Welcome to icliniq.com.

I can understand your concern.

I would like to know a few more details. You mentioned that stage 1 surgery was performed two years back. When was the second stage surgery done? Did he complain of any urinary problems after surgery? The most likely cause is an infection given his history is surgery, and now that infection has been ruled out, other factors like bleeding from the surgical site have to be checked out. It is also possible that this may be totally unrelated to surgery. Young children do sometimes get blood in the urine due to unexplained causes or calcium in urine, but given the history of surgery, the factors related to that have to be ruled out first.

Yes, it is possible to get a stricture after hypospadias repair, and that can also cause bleeding due to high pressure during urination, and it has to be checked out, even if there are no complaints. If it is established that it is a stricture, then the treatment will vary according to the location and severity. It can be endoscopic or repeat surgery or sometimes just dilatation would suffice. It is impossible to predict, without knowing the actual details about the previous surgery and without evaluation of the present status of the child as to what treatment he will need.

I hope this helps. Do get back if you have any further queries.

Thank you.

Hi,

Welcome back to icliniq.com.

Glad to have you back.

It is good to hear that your child is doing well. In my opinion, I would like to just make sure that the urinary flow is normal even though everything appears to be normal from the outside. It would not be necessary to perform any extensive testing now that your child has recovered well. If the flow is normal, it is unlikely that the problem now was related to the surgery. As I said before, there are many reasons why children have some occasional blood in their urine. Since your child underwent surgery, we first think of it to be the cause. As the child grows, the urethra also normally expands. It is difficult to predict whether the problem will recur. If a doctor has examined him and has found the surgery to be well performed, it is highly unlikely. It is still important that you do not ignore minor problems and get them checked out at the earliest just to be sure.

I hope this helps. Do get back if you have any further queries.

Thank you.