To retrospectively analyze the effectiveness of enhanced recovery after surgery (ERAS) management on children with hypospadias during the perioperative period.

The clinical data of 213 children with hypospadias admitted to the Sixth Affiliated Hospital of Sun Yat-sen University from July 2018 to August 2022 were collected, and 112 patients with hypospadias were included, including 29 patients treated with Duckett surgery, 17 patients treated with modified Onlay surgery, 41 cases with TIP surgery and 25 cases underwent surgical repair due to urinary fistula. All children were managed by ERAS process in the perioperative period, and the baseline data of children's age, height, BMI, comorbidity, operation mode, operation time, anesthesia mode, analgesia mode, intraoperative blood loss were analyzed retrospectively. At the same time, the clinical data of children's postoperative hospitalization time, postoperative recovery time of diet and activity, postoperative complications were collected.

The overall hospitalization time was (5.8±2.6) d, the overall postoperative hospitalization time was (3.9±2.2) d, the operation time was (139±47) min, and the intraoperative blood loss was [10(5, 20)] ml.87.5%(98/112) of the patients returned to diet 3 hours after the operations, and 83.9% (94/112) of the patients had out-of-bed activity in the day after the operations. The median follow-up time was 27 months, ranging from 2 to 53 months. The overall postoperative complication rate was 19.6% (22/112), of which 2 cases were infected and improved after anti inflammation and drainage, 9 cases of urinary fistula, 4 cases of urethral stricture, 4 cases of urinary fistula with urethral stricture, 1 case of urethral diverticulum, 1 case of penis head rupture, and 1 case of urethral lump. All of them improved after reoperation.

ERAS is safe and effective in children with hypospadias during perioperative period, which can promote postoperative rehabilitation without increasing complications.