Abstract
Adults who may undergo hypospadias-related surgery are classified under three categories: category I is for patients who have undergone multiple surgeries with significant scarring and tissue loss, category II is for adults who have delayed complications after initially successful childhood repair and have adequate healthy tissues, and category III is for adults with no previous surgery. Adults already operated upon are the majority and they may require surgery due to functional or cosmetic dissatisfaction. Common indications for surgery in adults are strictures, residual hypospadias, spraying, fistula, and chordee. Adults in category III usually have distal forms of hypospadias. The principles of surgery and surgical techniques are mostly the same as in children. However, there are tips and tricks that may increase the success rate and reduce complications. The incidence of complications of adult hypospadias surgery is more than in children.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- BXO:
-
Balanitis xerotica obliterans
- DYG:
-
Double Y glanulomeatoplasty
- SLAM:
-
Slit-like adjusted Mathieu
- TIP:
-
Tubularized incised plate
- UTI:
-
Urinary tract infection
References
Hoy NY, Rourke KF. Better defining the spectrum of adult hypospadias: examining the effect of childhood surgery on adult presentation. Urology. 2017; https://doi.org/10.1016/j.urology.2016.07.057.
Hollander JE, Singer AJ, Valentine S. Comparison of wound care practices in pediatric and adult lacerations repaired in the emergency department. Pediatr Emerg Care. 1998; https://doi.org/10.1097/00006565-199802000-00004.
Bhat A, Bhat M, Kumar V, Kumar R, Mittal R, Saksena G. Comparison of variables affecting the surgical outcomes of tubularized incised plate urethroplasty in adult and pediatric hypospadias. J Pediatr Urol. 2016; https://doi.org/10.1016/j.jpurol.2015.09.005.
Ching CB, Wood HM, Ross JH, Gao T, Angermeier KW. The Cleveland Clinic experience with adult hypospadias patients undergoing repair: their presentation and a new classification system. BJU Int. 2011; https://doi.org/10.1111/j.1464-410X.2010.09693.x.
Barbagli G, De Angelis M, Palminteri E, Lazzeri M. Failed hypospadias repair presenting in adults. Eur Urol. 2006; https://doi.org/10.1016/j.eururo.2006.01.027.
Myers JB, McAninch JW, Erickson BA, Breyer BN. Treatment of adults with complications from previous hypospadias surgery. J Urol. 2012; https://doi.org/10.1016/j.juro.2012.04.007.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Hadidi, A.T. (2022). Hypospadias Surgery in Adults. In: Hadidi, A.T. (eds) Hypospadias Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-94248-9_51
Download citation
DOI: https://doi.org/10.1007/978-3-030-94248-9_51
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-94247-2
Online ISBN: 978-3-030-94248-9
eBook Packages: MedicineMedicine (R0)