Which of the following should be avoided if a neonate has hypospadias?

Circumcision

Explanation

• Hypospadias refers to the condition in which the urethral opening is located below the glans penis or anywhere along the ventral surface of the penile shaft (Hypo- means "below").

• Circumcision should be delayed until after surgical repair because the foreskin is used for grafting in the surgery.

Incorrect options:

• Catheterization may be used to ensure urinary elimination. Hypospadias does not prevent catheterization.

• Diuretics are not contraindicated in a patient with hypospadias.

• Intravenous pyelography is contraindicated only if the child has an allergy to contrast material. In the past, a history of an allergic reaction or sensitivity to seafood/shellfish allergy was thought to indicate an increased risk of allergy to contrast/dye containing iodine. This has proven to be untrue, and shellfish allergy is no longer considered an absolute contraindication to the administration of IV contrast material.

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