The accepted time for surgery for suburethral cleft is around 1 week of age, so it is generally recommended to first seek outpatient care after 6 months of age, and the doctor will determine the treatment plan and issue an inpatient order. The hospital staff will notify the specific time of admission by phone at the appropriate time, and at the specific time, you will go directly to the inpatient department, take the inpatient order for admission and enter the inpatient surgery process. In the outpatient clinic, you need to provide detailed information about your child’s basic condition: such as any combined diseases, children with hypospadias can be combined with congenital heart disease and other conditions that need to be dealt with first; previous surgical history, especially if you have hypospadias treated outside the hospital, it is recommended to bring the medical records and discharge summary of outside hospital treatment for the doctor’s reference. It is recommended that parents bring their children to the doctor, as it is easier for young people to communicate with each other, and parents are the legal guardians. When the doctor writes the hospitalization order make sure that the phone information left is accurate, the information that can be contacted, and make sure that it is open during working hours. Generally, surgery needs to be performed in a healthy state. If combined with a cold or other conditions, surgical anesthesia is extremely risky and even life-threatening, so it is routinely necessary to operate 2 weeks after the cold or other conditions have healed. When you receive a notice of admission to the hospital, please tell the truth and change the time of admission, and the hospital will usually take care of such cases as soon as possible. If the doctor finds that you are not suitable for surgery at the time of admission, you will still be advised to leave the hospital, resulting in wasted travel, etc. Never, do not take your own medication etc. to cover up the symptoms, because the elimination of symptoms does not mean that the disease process is cured and does not reduce the risk of surgery. When you are admitted to the hospital, bring your outpatient visit record because it is the doctor’s record of the surgery plan, and the hospital receiving doctor may not be the same person as the outpatient doctor to facilitate the receiving doctor’s prescription for surgery. For medical treatment in foreign cities, please know the local medical insurance policy and the reimbursement vouchers needed, which you can bring back when you are discharged from the hospital. Liu Yidong, Department of Urology, Shanghai Renji Hospital For cases of penile dysplasia, the doctor may recommend preoperative endocrine therapy to promote penile development, please follow the doctor’s orders and follow up about 2 weeks after the treatment to determine the treatment effect, and the surgery plan. In individual severe cases, the surgery is staged, and the interval between two surgeries is usually 6 months. It is recommended to follow up about 3 months after the first time to evaluate the effect of the previous surgery and determine the timing of the second surgery. In severe cases, chromosomal examination and evaluation of the gonads are also necessary, as they are related to the overall outcome of the surgery later. If you have previous surgery related to hypospadias surgery and are re-admitted for surgery, it is recommended to start daily disinfectant cleaning of the perineum and penis 1-2 times and oral broad-spectrum antibiotics 2-3 days prior to admission. Because the scar of previous surgery is the most hiding place, doctors usually treat it as a contaminated wound. Pre-operative preparation can reduce the chance of post-operative infection. Once again, the treatment of hypospadias is a systematic project, and a standardized treatment process and proper preoperative preparation are the first steps to ensure the success of the procedure, although sometimes the “tediousness” of the process can be a burden. Modern Internet technology can provide remote consultation and solve some problems, but it cannot replace the traditional outpatient approach, where “seeing is believing”. WeChat public platform subscription number: niaodaoxialie