Hello doctor, My son is 5 years old. He is born with hypospadias and had a stage 1 surgery to fix it back two years back. Everything went well so far. However, the following symptoms are now showing up. From the last week, he started to complain when passing urine saying it was stinging him. We went to GP and urine sample showed no infection. Since yesterday, drips of blood are there in his urine. We went to A and E and urine still showed no infection. However, the doctor advised seeing GP tomorrow to get a referral to a Urologist. The doctor is not sure what this could be due to mentioned that a scar could have reopened? Antibiotics prescribed to avoid potential infection? Could you please give us your feedback on these symptoms and let us know what kind of intervention is likely to happen if a complication was established? If it was a buildup of scar tissues or a urethral stricture for example, how would you treat it? We are deeply concerned as the first surgery was so painful and intense.
Hi. I have gone through your query. I would like to know a few more details. You mentioned stage 1 surgery was performed two years back. When was the second stage done? Did he complain of any urinary problems after surgery? The most likely cause is an infection given his history is surgery, now that infection has been ruled out, other factors like bleeding from the surgical site have to be checked out. It is also possible that this may be totally unrelated to surgery, young children do sometimes get blood in the urine due to unexplained causes or calcium in urine, but given the history of surgery, the factors related to that have to be ruled out first. Yes, it is possible to get a stricture after hypospadias repair, and that can also cause bleeding due to high pressure during urination, and it has to be checked out, even if there are no complaints. If it is established that it is a stricture, then the treatment will vary according to the location and severity. It can be endoscopic or repeat surgery or sometimes just dilatation would suffice. It is impossible to predict, without knowing the actual details about the previous surgery and without evaluation of the child now as to what treatment he will need.