RT Book, Section
A1 Primley, Sean
A1 Wilcox, Duncan
A2 Ziegler, Moritz M.
A2 Azizkhan, Richard G.
A2 Allmen, Daniel von
A2 Weber, Thomas R.
SR Print(0)
ID 1100436352
T1 Hypospadias
T2 Operative Pediatric Surgery, 2e
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-162723-8
LK accesssurgery.mhmedical.com/content.aspx?aid=1100436352
RD 2024/04/19
AB Higher  rates  of  cryptorchidism  and  inguinal  hernia.Due  to  the  higher  incidence  of  DSD  in  patients  with  hypospadias  and  nonpalpable  testicles  an  evaluation  of  these  patients  should  be  done.Difficulty  in  passing  a  catheter  at  the  time  of  hypospadias  repair  may  be  due  to  the  presence  of  a  utricle.Imaging  of  the  upper  tracts  in  hypospadias  patients  is  not  routinely  done  unless  there  is  another  indication.The  components  of  hypospadias  repair  are:  correction  of  chordee,  urethroplasty,  reconstruction  of  the  glans,  and  skin  coverage.Currently,  the  repair  of  most  hypospadias  is  based  on  the  intact  urethral  plate.The  technique  used  is  based  on  the  location  of  the  urethral  meatus  and  the  severity  of  the  chordee.Chordee  correction  should  be  done  prior  to  urethroplasty.Hypospadias  surgeons  should  be  comfortable  performing  repairs  on  the  full  spectrum  of  hypospadias  as  findings  at  the  time  of  operation  may  reveal  a  more  severe  defect.Early  complications  include  bleeding,  hematoma,  and  infection.The  rate  of  late  complications  is  based  on  the  degree  of  hypospadias  and  the  type  of  repair  used.The  overall  reoperative  rate  is  9.8%.Patients  with  fistulae  or  urethrocele  should  be  evaluated  for  distal  stenosis.