Paediatric urological surgery (hypospadias, cryptorchidism)
Surgeries/Pediatric/Paediatric urology

Paediatric urological surgery (hypospadias, cryptorchidism)

Surgical management of urological anomalies in children, in particular hypospadias and undescended testicle (cryptorchidism).

What is it?

Paediatric urological surgery corrects anomalies of the urinary tract and genital organs in children. The two most frequent reasons for surgery are hypospadias, an abnormal position of the urinary opening in boys, and cryptorchidism, when the testicle has not descended spontaneously into the scrotum. These procedures are scheduled at the best age for the child, generally during the first years of life, in order to obtain an optimal functional and aesthetic result while preserving later development. The techniques used are fine and meticulous, with discreet scars. At Clinique Pasteur Tunis, these procedures are performed by paediatric surgeons highly experienced in children's urological surgery, with dedicated paediatric anaesthesia. Most procedures involve a short hospital stay, and the team guides parents through the simple care to be continued at home.
Paediatric urological surgery (hypospadias, cryptorchidism)

When is it indicated?

Hypospadias: urinary opening in an abnormal position in boys

When the urinary opening is not in its usual place, delicate surgery reconstructs it for a natural result, both for urination and in appearance.

Cryptorchidism: testicle not descended beyond the usual age of spontaneous descent

When the testicle has not descended on its own into the scrotum, the procedure gently repositions it in order to protect its future function.

Retractile or ectopic testicle requiring fixation

A testicle that keeps moving up or remains in an abnormal position can be secured in the right place by a simple procedure.

Foreskin anomalies resistant to medical treatment

When creams have not been enough to loosen a foreskin that is too tight, an appropriate surgical procedure resolves the problem for good.

Certain urinary tract anomalies detected by ultrasound

Some anomalies discovered on ultrasound are corrected before they can interfere with proper kidney function.

Preparation

1Specialist consultation to define the anomaly and the ideal timing of the procedure
2Ultrasound or other imaging if necessary
3Paediatric anaesthesia consultation
4Pre-operative fasting according to age-appropriate instructions
5Bath or careful washing the day before the procedure

Procedure

1

General anaesthesia, often combined with regional anaesthesia to limit pain on waking

2

Surgical correction of the anomaly using fine techniques adapted to the child

3

For hypospadias: reconstruction of the urinary channel, sometimes with a small temporary catheter

4

For cryptorchidism: bringing down and fixing the testicle in the scrotum

5

Protective dressing and monitoring in the recovery room

6

Discharge the same day or after one night of observation depending on the procedure

Duration

45 minutes to 2 hours depending on the procedure

Aftercare & Recovery

Functional and aesthetic results are generally very satisfactory. Post-operative care is simple and explained to parents before discharge. Follow-up in consultation checks healing and then proper development as the child grows.

Risks and side effects

Temporary swelling or haematoma of the operated area
Local infection, rare and easily treated
For hypospadias: possible need for a surgical touch-up, discussed during follow-up

These risks remain rare. Your surgeon will inform you in detail before the procedure.

Request a Quote

Contact us to schedule a consultation or receive a personalized quote.

Request a Quote +216 36 402 000

At a glance

Duration: 45 minutes to 2 hours depending on the procedure
Preparation: Required
Dedicated specialist team