What should I pay attention to after hypospadias surgery?

  1.Post-discharge outpatient follow-up plan: Please come to the outpatient clinic for review at 2 weeks, 1 month, 3 months, 6 months and 12 months after surgery respectively. You must bring the discharge summary to the follow-up clinic.  2.Antibiotic use: Children discharged with tubes need to take oral antibiotics routinely until 2-3 days after the tube is removed.  3. Dietary precautions: Drink more water. The daily diet should be easy to digest and highly nutritious, and keep the bowels open.  4. Catheter care: Keep the catheter open to avoid bending, blockage, shedding and other conditions that affect urine drainage. After the operation, the color of urine is red, a small amount of blood oozing from the urethral opening or urine flowing out from the side of the urethral catheter is a normal postoperative phenomenon, but if the wound or urethral opening continues to ooze blood or the drainage tube is blocked, it is necessary to come to the hospital for consultation in a timely manner.  5, wound care: keep the surgical wound dry and clean and the urethral orifice clean, wash the wound twice a day with 0.02% furacilin solution (once in the morning and once in the evening), and gently wipe the wound with a medical swab or cotton ball dipped in the solution. If the wound is mildly red and swollen, you can add anti-infective ointment such as gentamycin eye ointment and Bactrim for external use. Theoretically, you can take a shower 1 week after surgery, but you must wipe the perineum clean after the shower. If there is erosion, rupture, pus, darkening of the skin or odor at the wound, you should come to the hospital promptly. For children who still have gauze or dressing on the penis at the time of discharge, the dressing should be removed at the outpatient clinic within 3-5 days after discharge.  6, stitch removal: incision surgery sutures are absorbable sutures, about a month after surgery will mostly fall off on their own, no need to remove the sutures. However, the glans traction line that fixes the urinary catheter needs to be removed together with the catheter when it is removed. If you find transparent threads exposed at the incision, generally wait for them to fall off on their own, do not pull.  7. Observation of urination: After the catheter is removed, the child’s urination should be frequently observed. If there is thinning of the urine line, difficulty in urination (especially if there is stool discharge at the same time as urination), urine flowing out from a place other than the urethra during urination or a lump bulging on the ventral side of the penis during urination, the child should come to the hospital promptly.  8. Long-term follow-up: Because of the association of hypospadias with sexual function and fertility, it is recommended to visit the outpatient clinic before development (11 to 14 years old) for follow-up to help with functional assessment.