Post-Hypospadias Surgery: Why Is Urine Spraying from the Stitch Site? - Urology

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After hypospadias surgery, it is not uncommon for parents to notice some unusual urinary patterns as the child heals. In your case, the observation of urine spraying from the stitch site could be attributed to several factors related to the surgical procedure and the healing process.

Firstly, it is important to understand that hypospadias surgery involves reconstructing the urethra, which is the tube that carries urine from the bladder to the outside of the body. The surgical site is typically stitched to promote healing, and during the recovery phase, it is possible for the stitches to be under tension or for the urethra to not yet be fully healed. This can lead to urine being expelled from areas other than the intended opening, especially if there is any swelling or if the stitches are not holding as expected.

Here are some potential reasons for the urine spraying from the stitch site:
1. Healing Process: The surgical site may still be healing, and any swelling or irritation can affect how urine flows. As the tissues heal, they may not yet have formed a complete seal, leading to urine escaping from the stitch area.

2. Stitch Integrity: If the stitches are not holding properly or if there is any disruption to the surgical site, this could cause urine to spray from the area. It is crucial that the stitches remain intact during the healing process to ensure proper urinary function.

3. Urethral Stricture or Fistula: In some cases, a fistula (an abnormal connection between the urethra and the skin) can develop post-surgery. This can lead to urine leaking from the stitch site. A urethral stricture, which is a narrowing of the urethra, can also cause abnormal urine flow.

4. Infection or Inflammation: If there is any infection or inflammation at the surgical site, this could also contribute to abnormal urine flow. Signs of infection may include increased redness, swelling, or discharge from the surgical site.

Given that your child is only 8 days post-surgery, it is advisable to monitor the situation closely. If the spraying continues or worsens, or if you notice any signs of infection (such as fever, increased pain, or unusual discharge), it would be prudent to contact your pediatric urologist or the surgeon who performed the procedure. They may recommend an earlier follow-up appointment to assess the surgical site and ensure that everything is healing as expected.

In the meantime, here are some general care tips to help during the recovery process:
- Keep the Area Clean: Ensure that the surgical site is kept clean and dry. Follow any post-operative care instructions provided by the surgeon.

- Avoid Irritants: Avoid using any harsh soaps or lotions on the area that could irritate the skin.

- Monitor Urination: Keep track of your child's urination patterns and any changes in urine flow. Note any additional symptoms that may arise.

- Pain Management: If your child appears to be in discomfort, consult your healthcare provider for appropriate pain management options.

In conclusion, while some irregularities in urine flow can be expected after hypospadias surgery, it is essential to remain vigilant and consult with your healthcare provider if you have any concerns. Early intervention can help address any potential complications and ensure a smooth recovery for your child.