Hypospadias Repair In Adults, Surgery, Age, Recovery, Complications, ICD-10, CPT Code

Content:

• What is Hypospadias Repair? 
• Hypospadias Repair In Adults
• Hypospadias Repair Surgery 
• Hypospadias Repair Age
• Hypospadias Repair Recovery 
• Hypospadias Repair Complications
• Hypospadias Repair ICD-10
• Hypospadias Repair CPT Code

What is Hypospadias Repair?

Hypospadias repair is a surgery to fix a condition where the opening of the urine tube (urethra) is on the underside of the private part instead of at the tip. The goal of the surgery is to move the opening to the correct position, straighten the private part if needed, and ensure normal urine flow.

Hypospadias Repair In Adults

Hypospadias repair in adults is more complex than in children because of previous surgeries, scar tissue, or untreated cases from childhood. The goal of surgery is to correct urinary flow, improve function, and enhance appearance.

Why Do Adults Need Hypospadias Repair?

Some adults require surgery if they have:

• Untreated childhood hypospadias
• Complications from previous surgery, such as fistulas (leaks), strictures (narrowing), or curvature
• Difficulty urinating or spraying of urine
• Pain or discomfort during urination or intimacy
• Types of Surgical Repair in Adults

The type of procedure depends on the severity of the condition and past surgeries. Options include:

1. Urethroplasty – Reconstruction of the urine tube to create a normal opening.
2. Meatoplasty – Widening or reshaping of the urinary opening.
3. Chordee Correction – Straightening of the private part if bending is present.
4. Two-Stage Repair – In severe cases, the surgery may be done in two stages, with tissue grafts taken from the mouth or other areas.

Hypospadias Repair Surgery

Hypospadias repair surgery is a procedure to correct a birth condition where the urine opening is on the underside of the private part instead of at the tip. The surgery aims to move the opening to the correct position, straighten any bending (chordee), and ensure normal urine flow. 

It is typically performed between 6 to 18 months of age, though it can also be done in older children or adults if not treated earlier. The procedure is done under general anesthesia, and depending on the severity, different surgical techniques are used, such as Tubularized Incised Plate (TIP) Urethroplasty, Onlay Flap Repair, or a Two-Stage Repair for complex cases. 

Hypospadias Repair Age

Hypospadias repair is typically performed between 6 to 18 months of age, as this is the ideal time for surgery due to faster healing, minimal psychological impact, and better tissue elasticity. Performing the surgery at this young age allows normal development of urinary and reproductive functions. However, if the condition is not treated early, surgery can still be done in older children, teenagers, or even adults. In adults, the procedure may be more complex due to previous surgeries, scarring, or tissue changes, often requiring a staged approach.

Hypospadias Repair Recovery

Recovery after hypospadias repair surgery typically takes several weeks, with full healing occurring over a few months. Most patients go home the same day or after a short hospital stay. A catheter or stent is usually placed for 5 to 14 days to help with healing and allow urine to drain properly. Swelling, bruising, and mild discomfort are common in the first few days but can be managed with prescribed pain medications.

 

Hypospadias Repair Complications

Hypospadias repair is generally successful, but like any surgery, it carries some risk of complications. One of the most common issues is a fistula, a small hole that forms along the newly created urine pathway, causing leakage. Another possible complication is urethral stricture, where the urine tube becomes narrow, leading to difficulty urinating. 

Some patients may also develop meatal stenosis, a narrowing of the new opening, which can cause a weak urine stream or spraying. In cases where the initial correction is not fully successful, persistent chordee (penile curvature) may remain, requiring further surgery. Infection, bleeding, and delayed wound healing are rare but possible. 

Long-term complications can include cosmetic concerns, urinary flow problems, or the need for additional surgeries. Regular follow-ups with a doctor are essential to monitor healing and address any issues early.

Hypospadias Repair ICD-10

ICD-10-CM code for penile hypospadias is Q54.1, classified under congenital malformations of genital organs. For a history of corrected hypospadias, the appropriate code is Z87.710. Proper coding depends on the surgical procedure performed.

Hypospadias Repair CPT Code

CPT codes for hypospadias repair vary based on the procedure and location. Key codes include:

• 54300 – Chordee correction with or without urethral mobilization.
• 54304 – First-stage repair with skin grafts or flaps.
• 54322 – One-stage distal repair with local skin flaps.
• 54324 – Distal repair with urethral mobilization.
• 54328 – Extensive dissection with skin grafts or island flaps.
• 54332 – One-stage proximal hypospadias repair.
• 54336 – One-stage perineal hypospadias repair.