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Int J Urol. 2008 Aug;15(8):651-64. doi: 10.1111/j.1442-2042.2008.02081.x. Epub 2008 Jun 3.

Current concepts in hypospadias surgery.

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  • 1Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan. yutaro@med.nagoya-cu.ac.jp

Abstract

Anatomical anomalies in hypospadias are an abnormal ventral opening of the urethral meatus, abnormal ventral curvature of the penis and abnormal distribution of the foreskin around the glans with a ventrally deficient hooded foreskin. The techniques of hypospadias surgery continue to evolve. The current standard of care for hypospadias repair includes not only a functional penis adequate for sexual intercourse and urethral reconstruction offering the ability to stand to urinate, but also a satisfactory cosmetic result. Tubularized incised plate repair has been the mainstay for distal hypospadias. In cases of proximal hypospadias, one-stage repairs such as the Duckett repair or the Koyanagi repair have been well established, while two-stage repairs remain important alternatives. Whether dorsal plication or ventral lengthening should be used to correct penile curvature is still controversial, and long-term results are required. Efforts have been made in this decade to improve cosmetic appearance, constructing a slit-like meatus or performing foreskin reconstruction, and to prevent onerous complications.

PMID:
18522675
[PubMed - indexed for MEDLINE]
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