Treatment timing guide
The general recommendations are based on the EAU and ESPU clinical guidelines. The timing for your child is decided individually after an examination.
| Condition | Best timing |
|---|---|
| Testicular torsion | Emergency, within the first 6 hours of pain |
| Paraphimosis | Emergency, within a few hours |
| Incarcerated inguinal hernia | Emergency |
| Posterior urethral valves | First days and weeks after birth |
| Inguinal hernia | Planned surgery soon after diagnosis |
| Undescended testicle | At 6–12 months, no later than 18 months |
| Hypospadias | At 6–18 months |
| Penile curvature with hypospadias | Corrected during the hypospadias repair, usually at 6–18 months |
| Isolated congenital penile curvature | The need for surgery depends on functional impact and individual concern; timing is chosen individually, often when the child can take part in the decision |
| Penile torsion | Assessed separately; mild torsion usually needs no treatment |
| Hydrocele | Watchful waiting until 1–2 years, surgery if it persists |
| UPJ obstruction | With symptoms, split renal function below 40% or a drop of more than 10 percentage points from the previous study, poor drainage or increasing dilation; MAG3/DTPA after 4–6 weeks of age |
| Megaureter | Most are monitored; surgery usually after 1–2 years |
| Vesicoureteral reflux (VUR) | Individual: based on infections, grade and scarring |
| Phimosis (physiological) | No treatment needed; a cream if there are symptoms |
| Circumcision (traditional) | There is no set medical age; it is chosen together with the family |
| Bedwetting | Treatment usually from age 6–7, not before 5, when the child and family are ready |
| Varicocele | In adolescence, if the testicle gets smaller or there is pain |
| Meatal stenosis | Planned, after diagnosis |
| Labial adhesions | Only if there are symptoms |