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Stage 1 Hypospadias Repair - Post-Op Recovery Log
postedOn: 2025-6-16   updatedOn: 2025-6-18   includedIn: Post-Op Care
wordsCount: 505   readingTime: 3 mins   viewers:

⚠️ This log is a personal documentation and not medical advice. Always consult your child’s surgeon or pediatric urologist for individualized care.

Background

Procedure: Stage 1 STAC (STraighten And Close) hypospadias repair Surgeons: Dr. Warren Snodgrass & Dr. Nicol Bush
Patient Age: 7 months Location: Hypospadias Specialty Center

Recovery Log

Week 1 (Day 1–7)

Day Description
Day 0 Added a tiny amount of Miralax to milk (need to test if the infant is tolerant about it beforehand) and avoid hard-to-digest solid food to prevent constipation.
Day 1 Baby appeared pale and dull post-surgery. Started HBOT. Baby cried hard during HBOT and played briefly in the evening.
Day 2 Continued Miralax and meds. Prepared 100% cotton clothes for HBOT. Baby calm and happy.
Day 3 Baby kicked a lot during HBOT, some blood observed, tegaderm partially peeled. Nurse confirmed mild oozing is expected. Penis base was visible and appeared dark red/black.
Day 4 Nurse checked and confirmed appearance was normal. Learned to wrap catheter tip with sterile gauze pad to prevent loose poop entering catheter.
Day 5 First bath. All bandages off. Penis looked red, bruised, and swollen with scabbed skin. Applied Manuka honey as instructed.
Day 6 Bathed baby 3 times. Continued Manuka honey. Penis swelling slightly reduced. Switched honey with MGO 850+ once it arrived.
Day 7 Yellow discharge and scabs noted. Underside more visible with less swellingness.

Week 2 (Day 8–14)

Day Description
Day 8 Catheter removed smoothly. Used toy distraction and pain management during and before catheter removal.
Day 9 Quick check with doctor; healing normal. Continue honey until underside heals.
Day 10–11 Baby became more active. Easier diaper change post catheter removal.
Day 12 Noticed cleft-like underside wound (turned out due to swellingness). Doctor advised continuing honey.
Day 13-14 Introduced more solid food for better nutrition. Used suppository after 3 days of no poop.

Week 3–4 Summary (Day 15–28)

  • Continued observation of underside healing and scabbing.
  • Returned home (Day 15) and resumed regular care routines.
  • Daily honey application continued; rash observed likely due to travel and diet.
  • Scrotal skin redness improving.
  • Rashes emerged on topside of penis, possibly from long-time use of honey.

Week 5–6 Summary (Day 29–42)

  • Honey frequency reduced due to suspected rash irritation.
  • Scabs completely gone.
  • Started topical steroid (betamethasone) on Day 45 but baby was upset with the irritation for the first few mins.

Week 7–9 Summary (Day 43–63)

  • Continued steroid cream and moisturizing with Aquaphor/Vaseline when not using the cream.
  • Gradual resolution of hard/swollen areas.
  • Suture remnants observed and eventually fell off.
  • Skin still tender and slightly red but improving steadily.

Week 10+ Summary (Day 64–Week 23)

  • Steroid stopped at Week 20 (used ~48g over 3 months).
  • Noticed temporary increased redness after stopping steroids, then improvement.
  • Observed visible blood vessels and a small residual lump near penoscrotal area.
  • Skin condition improving, with less hardening.

Notes

⚠️ For any unusual symptoms or concerns, consult your surgeon immediately.

  • Baby experienced both diarrhea and constipation post stage one surgery, and it may be better to get prepared for both.
Post-Op Care
Surgery Complications: Others