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Stage 2 Hypospadias Repair - Post-Op Recovery Log
postedOn: 2025-6-16   updatedOn: 2025-6-18   includedIn: Post-Op Care
wordsCount: 380   readingTime: 2 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 2 STAC repair using preputial graft
Surgeons: Dr. Warren Snodgrass & Dr. Nicol Bush
Patient Age: 14 months
Location: Hypospadias Specialty Center

Recovery Log

Week 1 (Day 1–7)

Day Summary
Day 0 Surgery completed. Top-left corner of outer bandage turned red. First HBOT session.
Day 1 Bandage edge lifted and turned light red. Vomiting noted.
Day 2 Diarrhea. Bandage soiled by stool. Poor sleep quality.
Day 3 Continued diarrhea. Gently wrapped catheter tip in sterile gauze to prevent further soiling.
Day 4 Flushed face (likely from bladder spasm medication). Appetite improved. Baby became more active.
Day 5 First bath. Baby frightened by the bandages, used a floating towel to block the view.
Day 6 Bandage partially detached. One of the three blue stitches securing the rolled bandage on graft came off. Difficult day.

Week 2 (Day 8–14)

Day Summary
Day 7 Catheter removed. No bleeding. Baby slept better.
Day 8 Applied Manuka honey; mild skin reaction. Appetite low.
Day 9 Swelling reduced. Baby distressed during diaper changes.
Day 10 Calm. Napped for 3 hours. Honey tolerated well.
Day 11 Small scab (~2mm) observed. Motrin no longer needed.
Day 12 Final HBOT session. Baby tired and clingy; took long nap.
Day 13 Returned home. Baby happy and regained energy.

Week 3 Summary (Day 15–21)

  • Applied Aquaphor generously.

Week 4–6 Summary (Day 22–43)

  • Sutures mostly dissolved.
  • Began applying steroid cream.
  • Redness and swelling gradually improved.
  • Hard spot near scrotum noticed.

Week 7–9 Summary (Day 44–64)

  • Skin softening observed.
  • Graft integrating well.

Week 10+ Summary (Day 65–Week 23)

  • Minimal scarring according to the doctor.
  • Occasional redness around graft edges.

Medication & Wound Care

Item Description
Hycet Pain relief during the first few days
Motrin Used for 7+ days post-op
Bladder spasm meds Used while catheter was in place
Antibiotics Prescribed post-op
Aquaphor Keeps skin moist, supports suture absorption
Manuka Honey Used for skin reaction
Steroid Cream Begin ~1 month post-op; apply 2x/day for 3 months
Bathing Warm water soak, 2x/day

Notes

  • Pay attention to the catheter to ensure it stays straight and free from kinks
  • Pay attention on the baby bowel movement so it can get cleaned ASAP