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The Surgical Approach to Two-Stage Hypospadias Repair

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Hypospadiology

Abstract

Proximal hypospadias is a unique and challenging variant of hypospadias. It is associated with a higher surgical complication rate and anatomic considerations that warrant an adaptive surgical approach. Over time our preference has shifted from a single to two-stage repair to achieve a more reproducible outcome. Assessing and proceeding with a two-stage repair consists of the quality of the ventral penile shaft and periurethral skin tissues, the degree of penile curvature, and the appearance of the urethral plate. The first stage operation corrects curvature and places supple shaft skin on the ventrum of the penis to facilitate a urethroplasty at the second operation. We stress the need for long-term follow-up and objective outcome measures to improve and deliver better outcomes to this challenging group of patients.

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Authors and Affiliations

  1. Division of Urology, Department of Surgery, The Children’s Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA

    Christopher J. Long, Aseem R. Shukla & Mark R. Zaontz

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  1. Christopher J. Long
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  2. Aseem R. Shukla
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  3. Mark R. Zaontz
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Corresponding author

Correspondence to Aseem R. Shukla .

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Editors and Affiliations

  1. Bhat’s Hypospadias and Reconstructive Urology Hospital and Research Centre, Jaipur, Rajasthan, India

    Amilal Bhat

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© 2022 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

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Long, C.J., Shukla, A.R., Zaontz, M.R. (2022). The Surgical Approach to Two-Stage Hypospadias Repair. In: Bhat, A. (eds) Hypospadiology . Springer, Singapore. https://doi.org/10.1007/978-981-16-8395-4_13

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  • DOI: https://doi.org/10.1007/978-981-16-8395-4_13

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-16-8394-7

  • Online ISBN: 978-981-16-8395-4

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