Stage 1 hypospadias repair
The stage 1 hypospadias repair was scheduled when my little one was 6 months old. We stayed at the Ronald McDonald House Dallas, which is just a few minutes from where the surgery was to be performed, at Children’s Medical Center Dallas.
Stage 1 repair
The stage 1 hypospadias repair was performed by Dr. Snodgrass and Dr. Bush. During the surgery, the chordee was cut (chordee is essentially the tethering of the penis due to the very short urethral plate and is common in more proximal, or severe, hypospadias), and a buccal mucosa graft was taken from his inner lip. Research shows this skin is the most effective due to its hairless, elastin rich, highly vascularised quality. The buccal mucosa graft was the most difficult part of the surgery. We didn’t expect there to be as as much blood and swelling to the lip as there was.
We stayed in the hospital overnight, taking turns holding Em while the other would catch a few minutes of rest. The nurses told us that the pain medication wouldn’t really help the pain from the graft, so it was a matter of riding it out. Following surgery, we were told that a 1 stage repair was attempted, but they ultimately had to excise the existing urethra and sew the graft to the bottom shaft of the penis which would be used to build the urethra in the stage 2 repair.
We were discharged Halloween morning. Dr. Snodgrass, Dr. Bush and the entire team at Children’s hospital are amazing. A few days later we flew home and began the healing for our next surgery, the urethroplasty.