Hypospadias Repair?

I'm just a medical student. however I had a clerkship with a pediatric urologist, and stayed at a holiday inn express.

From what I saw there were large differences in the severity of hypospadias. The variation I saw was basically how far distal the opening was. I did not see or hear of any complications in repairs, and the urologist never made a big deal about it.

 

On my rotation, I saw various hypo repairs, and each of them were either mid shaft, or at least proximal to the glans. This procedure is done at a time interval (between 6 months to a year) usually, such that the child will not remember the surgery or the pain of recovery. The parents must make the decision that they believe is the best interest of the baby. One cannot presume to know whether a child would grow up to be grateful for or to resent the appearance of his penis with this surgery. Most of these operations are extremely successful and give the boy a normal appearing penis that will not give him troubles in gym class later in life. I feel bad for the young man who had to have that many surgeries, however, I think you can find just as many and more patients who are extremely grateful for the repair.