12/05/2025 No antibiotic prophylaxis for hypospadias repair with a stent, can be given as per consultant surgeons instructions. Age based prescribing for medication rather than previous weight based
To provide a consistent and safe approach to the pharmaceutical post-operative management of patients following hypospadias repair.
Applies to all patients following hypospadias repair within The Royal Hospital for Children Glasgow.
Roles and Responsibilities
All health care professionals providing medicines for the postoperative management of patients following hypospadias repair.
Duration of treatment is for the duration the stent remains in place. This is usually 7 days although may be ten days depending on the day surgery falls upon.
If stent is suprapubic duration of treatment may be extended as per surgical consultant’s instruction.
Use of prophylactic antibiotic post-surgery is no longer used for all patients in repair with stents but may be considered on consultant advice.
Oxybutynin 2.5mg tablets
The tablet formulation should be prescribed. Tablets can be crushed and dissolved and instructions on administration will be labelled by pharmacy. Liquid preparation should only be used in patients with a dose of less than 1.25mg.
The prescriber must check the patient’s weight is appropriate for age before prescribing.
|
Age |
Dose |
|
< 2 years |
0.2mg/kg three times daily (Maximum 1.25mg three times daily) |
|
2 to 6 years |
2.5mg three times daily |
|
>7 years |
5mg three times daily |
Paracetamol 120mg/5mL oral suspension (if > 6 years 250mg/5ml oral suspension)
For first 48 hours paracetamol should be given regularly, after which time ‘when required’ paracetamol should be prescribed.
Ibuprofen 100mg/5mL oral suspension
If appropriate and required, prescribe ‘when required’ for all patients.
Lactulose solution
If patient has history a of constipation or is suffering with symptoms of constipation lactulose should be prescribed when required.
|
Age |
Dose |
|
<1 year |
2.5mL twice daily |
|
1 - 5 years |
5mL twice daily |
|
5 - 10 years |
10mL twice daily |
Adjust dose according to response.
Staged repairs may also require the use of Normal Saline 0.9% for twice daily flushing of the catheter. Prescribe if appropriate for patient.
Duration of treatment 5 - 7 days.
Without the use of a catheter oxybutynin is not required.
Paracetamol and Ibuprofen should be prescribed if required as above in section 1.2.
If required lactulose should be prescribed as above in section 1.3.
