Rafael Gosalbez, M.D., FAAP Kevin Olson, PA-C Andrew Labbie, M.D., FAAP Rigoberto Acosta, PA-C Kristin Kozakowski, M.D. Juddie M. Munar, ARNP Miguel Castellan, M.D. Natalie Hunter, ARNP [email protected][email protected][email protected][email protected][email protected] miguel.castel @gmail.com
Hypospadias Post-Operative Instructions
Upon hospital discharge, your child will be provided with a prescription for pain
medication (usually acetaminophen with codeine), which should be administered for up
to 2 days postoperatively. After, you may start administering regular acetaminophen as
the acetaminophen with codeine may cause constipation. Also, a prescription for antibiotics and a bladder antispasmodic (oxybutinin/Ditropan) will be provided. A possible effect of anesthesia is facial flushing, which may last from a few hours to a
day. It will resolve on its own. Constipation caused by anesthesia may last up to 2-3
days. You may use over-the counter glycerin suppositories and/or prune/pear juice to
treat constipation. Some fever, although unusual, may occur during the first 24 hours. Surgical site care:
A large bandage and a small urine catheter will be left in place after the surgery. It is
expected that the bandage gets soiled as the days progress, but it is necessary to keep
it as dry and clean as possible. In the case of infants/toddlers, using a double diaper is
recommended to ensure dryness of the bandage. In addition, small amounts of blood
may stain the bandage and are expected. It is very important that the catheter is
draining appropriately. Small blood clots that are expelled from the catheter are
expected. Ensure that the catheter is not kinked as it may not drain properly. Both the
bandage and catheter will be removed at the surgeon’s discretion, during your child’s
post-operative visits. Absorbable sutures are used for incision closure. Therefore, there
are no stitches to be removed. After the catheter is removed, your child may feel discomfort/pain while urinating,
causing him to hold his urine. You may sit him in the bath tub in lukewarm water to relieve this discomfort for up to 5 minutes at a time. Sponge baths are recommended until the bandage is removed, after which, your child
may shower/bathe. Activity restrictions are as follows: Avoid extraneous activities/sports that include straddling (i.e. bicycling, horse back
riding, martial arts, football, etc.) until the first follow-up visit. Your practitioner will
inform you of the restrictions thereafter. Contact MD immediately if:
You notice active bleeding (large amount of red blood in the bandage)
The catheter is not draining urine appropriately.
The catheter is dislodged or the bandage falls off.
Business Office – 3200 S.W. 60 Court Suite 104Miami, Florida 33155Tel:305-669-6448Fax:305-663-8485 Miami Office – Miami Children’s Hospital Medical Arts Building3200 S.W. 60 CourtSuite 104Miami, Florida 33155 Pembroke Pines Office – Professional Centre at Pembroke Lakes Mall 700 N. Hiatus Road Suite 216 Pembroke Pines, Florida33026Tel: 954-433-5300 Fax: 954-433-5340 Boca Raton Office – WestBocaMedicalOfficeBuilding 9980 Central Park Blvd. N. Suite 302 Boca Raton, Fl 33428 Boca Raton Tel: 561-483-0332 Fax: 561-483-5530
“Ask Dr. J” The “Ask Dr. J” columns are authored monthly by Jennifer Christian, MD, MPH, President of Webility Corporation. See previous columns at www.webility.md. Dr. J’s columns also appear in the monthly Bulletin of the Disability Management Employer Coalition (DMEC). To purchase a book of Dr. J’s collected columns, go to www.dmec.org. The columns often summarize iss
PRETTY GOOD SUCCESS… DON RICARDO’S LIFE & TIMES NO. 70 “You’ve had pretty good success doing music. (You’ve been a professional: made a living doing it.)” So writes Dereck Sivers, founder of CD Baby. “You enjoyed it. You’d recommend it to others.” Hmmm. Let’s see. First, I think we ought to define “pretty good,” and “success” too. And let me interject here that
CHILDREN’S UROLOGY ASSOCIATES, PA 
The catheter is dislodged or the bandage falls off.