Urethral advancement technique for repair of distal hypospadias.
ABSTRACT Eighty children with distal hypospadias were operated upon by this technique. It is a modification from the old Beck technique and is applicable only for distal types (coronal and subcoronal) with minimal chordae and rotation. The urethral meatus could be placed to the tip of the glans penis by mobilizing and advancing the urethra without constructing a neourethra. Children did not need catheterization or diversion. The average hospital stay was 2 days. Success rate was 98%. Children who developed fistulae were treated by simple closure of the defect.
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Plastic & Reconstructive Surgery 04/1997; 99(3):906-9. DOI:10.1097/00006534-199703000-00051 · 3.33 Impact Factor
Article: Hypospadias[Show abstract] [Hide abstract]
ABSTRACT: Hypospadias repair is one of the more common operations in pediatric urology centers, with an incidence of 1 in 200 to 1 in 300. This review provides an overview of the prevalence, epidemiology, etiology, and treatment of this condition. Indications for hypospadias repair and preoperative hormonal treatment are discussed. The principles of the different operations and their countless modifications are explained.Hypospadias repair has a long and flat learning curve and requires patience, experience, and great enthusiasm to achieve acceptable results. The results published on the various operative techniques need to be repeated and validated by other surgeons, and long-term results (up to adulthood) are essential to justify operative methods and identify late complications.European Urology Supplements 04/2012; 11(2):33–45. DOI:10.1016/j.eursup.2012.01.002 · 3.37 Impact Factor