ABSTRACT
In the male, hypospadias is defined as a urethral meatus abnormally located anywhere from the ventral aspect of the glans penis to the scrotum or perineum, often with associated ventral curvature of the penis, and abnormal distribution of foreskin with a “hood” present dorsally and deficient foreskin ventrally. Complications of hypospadias repair include bleeding/hematoma, meatal stenosis, urethrocutaneous fistula, urethral stricture, urethral diverticulum, wound infection, impaired healing, and breakdown of the repair. Infection at the hypospadias repair site may be suspected secondary to pain beyond that expected in the immediate postoperative period. Balanitis xerotica obliterans (BXO) is a chronic inflammatory process of unknown etiology. Skin at or near the repair site that is thickened and discolored may be the first evidence of BXO. The use of intravenous antibiotics in the perioperative period for hypospadias repair is commonly practiced and likely decreases the risk of infection with coverage for the typical epithelial surface bacteria.
