What to know after urological hypospadias

  Post-operative follow-ups are routinely scheduled for 1 week, 2 weeks, 3 weeks, 1 month, 3 months and 6 months and 1 year. If possible, you should follow up on time. It is necessary to bring the discharge summary to the follow-up examination.  1. Normal activity, especially for older children, bed rest is not recommended. Parents should not be nervous in front of the child, as this is not conducive to the child’s physical and mental recovery and development.  2, according to medical advice to take drugs, antibiotics oral discharge according to the standard dose, continue until 2-3 days after the removal of the tube.  3.Drink more water, including drinks. Daily diet is based on easy to digest and highly nutritious diet, with appropriate supplementation of fruits, vegetables and coarse fiber food to keep stools smooth and wet and soft.  4.Keep the catheter open. If the color of urine is red, a small amount of blood oozing from the urethral opening or a small amount of fluid oozing from the drainage tube in patients with drainage tubes or urine flowing out from the side of the urethral catheter is normal after surgery, but if the urine continues to be bright red or there is continuous blood oozing from the urethral opening or the daily drainage flow from the drainage tube is more than the urine or the color is bright red, it is necessary to come to the hospital for consultation in a timely manner.  5.Keep the surgical wound dry and clean and the urethral opening clean twice a day (one in the morning and one in the evening). Method available wet paper towel or wet cotton swab wipe, if the skin is moist available electric hair dryer will blow dry nearby, but must pay attention to the temperature, beware of burns! When wiping, pay special attention to the skin folds, such as the root of the penis, you need to spread the skin and then wipe these folds clean, and then put on the chlortetracycline ophthalmic high applied to the head wound and the root of the penis and other skin folds after wearing a diaper. If the wound is somewhat erosion can be coated with red salve.  6.Surgical sutures are absorbable sutures, which will gradually fall off on their own after a month or so after surgery, and no need to remove the sutures. If you find a transparent thread at the wound, you can use small scissors to cut it off while the child is sleeping, so that it can be favorable to fall off, do not pull.  7.For patients who still have gauze or elastic bandage at the time of discharge, the dressing should be removed at the outpatient clinic within 3-5 days after discharge (the specific situation depends on the wound recovery at the time of discharge).  8.Theoretically, you can take a shower 1 week after surgery, but you must wipe the perineum clean or blow dry it with a dryer after the bath.  9.If there is erosion, rupture, pus, darkening of the skin or odor at the wound, you should come to the hospital for consultation in time.  10.Abdominal pain in children during indwelling catheterization is usually caused by bladder spasm due to stimulation of the bladder triangle by the catheter. Treatment: (1) Check whether the catheter is folded, if so, it should be corrected immediately; (2) Apply a hot wet towel to the lower abdomen to relieve the symptoms; (3) If the symptoms cannot be relieved or occur frequently, the child should come to the hospital for consultation. Sometimes medication is needed.  11.The catheter is usually removed 2-3 weeks after the operation. 1 week after the catheter is removed, you need to come to the outpatient clinic for follow-up consultation, see the routine follow-up consultation plan. For patients who are still discharged with scrotal drainage, the drainage tube should be removed on a case-by-case basis, usually 3 days-1 week after surgery; children with reconstructed urethra reaching the scrotum may need to be kept until several days after removal of the catheter, and if there is still urinary fistula, the retention time should be increased.  If the child is reluctant to urinate, use a pediatric opener to help him or her to urinate. If the urine line becomes thin, urination is difficult (especially when there is stool discharge), urine flows out from a place other than the urethral opening during urination or there is a lump bulging on the ventral side of the penis during urination, you need to come to the hospital in time.  Special follow-up recommendation: Due to the association of hypospadias with sexual function and fertility, a follow-up visit to the (11-14 years old) outpatient clinic is recommended before development to help with functional assessment.