So today we had a consult with the pediatric urologist. Lincoln's hypospadias is fairly mild but we are going to do surgery. That will happen when is around 6 months old so that it can be just a day surgery and he doesn't have to stay overnight in the hospital. They also did an ultrasound of his kidneys and discovered that they are still slightly enlarged. This could mean one of two things:
1) The tube between the kidneys and bladder hasn't fully developed and as he grows, the tube will grow, thus fixing the problem.
2) He has reflux - which means that some of pee in the bladder could be going back up instead of going out.
The urologist presented several options of what we could do. He was actually very neutral on what option to pick - which was almost a bit frustrating because I had to decide! There was no wrong choice, but I still had to make one! So basically our choices came down to:
1) Perform a procedure on him which involved inserting a catheter into his bladder and then putting some sort of x-ray liquid in there and seeing if it goes up instead of remaining in the bladder. Then we'd know for sure if he has reflux. If that is the case, then he has an increased risk for bladder infections which could more easily reach his kidneys. Which would lead us to two other choices:
A) Do nothing - but keep an eye on things, watch for any first signs of bladder infections like fevers, etc and do something about it immediately.
B) Put him on antibiotics until he's potty-trained
2) Wait three months and have another ultrasound done. If the kidneys are not enlarged, then come back when he is a year old to check on things and if they are still not enlarged, then call it resolved and call it good. If they are still enlarged, then see option #1. In the meantime in those three months, we would still have to watch for signs of bladder infection just in case.
So I ended up deciding on option #2. It felt less invasive but still gave us the option to go back to option #1 if necessary. So it seemed like a good choice. In the meantime, if he runs a fever, we are supposed to take him to his pediatrician just in case, even if normally with another child we might be inclined to just treat them at home.
Rating: 1 Lollipop and 1 Fireball (not sure how to rate this one!)


















