Pre-Operative Information

Provided in our site are educational guides for a number of the common conditions treated by the staff at Pediatric Surgical Associates, LTD. These guides are provided for informational purposes only for any specific information on the conditions or treatment you should speak to your family physician.

The guides are provided in Adobe PDF format. You need Adobe Acrobat Reader to view and print the documents. Acrobat Reader is available free from Adobe Software.

Bladder Augmentation: Pre-Operative Information
Bladder augmentation is a surgical procedure to enlarge the bladder so that it can hold greater volumes of urine.

Bladder Augmentation Pre-operative Guide Adobe PDF Format

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Chordee Repair: Pre-Operative Information
Your son will soon be coming to the hospital for a chordee repair. This will involve a very small incision made in the penis to correct the curvature. This information will help prepare you and your child for the procedure.

Chordee Repair Pre-operative Guide Adobe PDF Format

Circumcision: Pre-Operative Information
A circumcision is a procedure to surgically remove the foreskin from the penis. This is most often done shortly after birth, but sometimes a circumcision is done later in a child’s life, even in adulthood.

Circumcision Pre-operative Guide Adobe PDF Format

Continent Urinary Diversion: Pre-Operative Information
Your child is scheduled for a continent urinary ostomy. Your doctor will use the appendix or a small piece of bowel to make a new passage for urine to come out. The appendix is a tube about the size and length of a finger that is attached to part of the bowel. Since the appendix is not needed there, the doctor removes it, and opens both ends so it looks like a straw. One end will be “funneled” into the bladder and the other to a small opening on the abdomen or in the belly button. This is called a stoma. To empty the bladder, a catheter is passed through the stoma and into the bladder. The urine will drain out of the catheter.

Continent Urinary Diversion Pre-operative Guide Adobe PDF Format

Cystoscopy/Urethral Dilation: Pre-Operative Information
Your child will soon be coming to the hospital for a cystoscopy and/or a urethral dilation. This procedure uses a cystoscope to look into the inside of the bladder and the urethra (the tube that leads from the bladder to the outside). Your child may also be scheduled for a dilation. This procedure increases the size of the urethra in the area that is to small or narrow.

Cystoscopy/Urethral Dilation Pre-operative Guide Adobe PDF Format

Hernias and Hydroceles: Pre-Operative Information
The testicles begin to develop in the abdomen. In most boys, they move down into the scrotum before birth. As this happens, some of the lining of the abdomen (called the peritoneum) comes down a a tube with the testicle. In most boys, the tube that forms the connection between the peritoneum and the scrotum is closed at birth; but in some boys it remains open, forming a pocket. If the fluid produced in the abdomen goes into the pocket, then it is called a hydrocele. About 1 in 3 newborn boys will have a small hydrocele, most of them close on their own. If the bowel goes into the pocket, it is called a hernia. Both the hernia/hydrocele cause swelling in the scrotum or lower groin. In girls, swelling due to the hernia occurs in the pubic area or lower abdomen.

Hernias and Hydroceles Pre-operative Guide Adobe PDF Format

Hypospadias Repair: Pre-Operative Information
Hypospadias is a birth defect of the penis. The urethral opening, the hole where the urine comes out, is not in the normal position. Instead of the tip it is on the undersurface of the penis.

Hypospadias Repair Pre-operative Guide Adobe PDF Format

Nephrectomy: Pre-Operative Information
Your child will soon be coming to the hospital for a nephrectomy. This procedure will remove all or part of a kidney that is not functioning well. This information will help prepare you and your child for the procedure.

Nephrectomy Pre-operative Guide Adobe PDF Format

Orchiopexy: Pre-Operative Information
Orchiopexy is a surgical procedure to move testicles from the abdomen or groin into the scrotum. Before birth, the testicle moves from the pelvic area down into the scrotum. In some boys, this does not occur and it is called undescended testicles. This may require more than one operation depending on the position of the testes and any other associated problems.

Orchiopexy Pre-operative Guide Adobe PDF Format

Pyeloplasty: Pre-Operative Information
Your child will soon be coming to the hospital for a pyeloplasty. A pyeloplasty is an operation performed to clear away an obstruction at the point where the ureter meets the kidney.

Plyeloplasty Pre-operative Guide Adobe PDF Format

Ureteral Implantation: Pre-Operative Information
Your child needs an operation to prevent urine from backing up from the bladder to the kidney and damaging the kidney tissue. The operation is called a ureteral reimplant.

Ureteral Reimplantation Pre-operative Guide Adobe PDF Format