• Laurence S. Baskin
Part of the Atlas of Clinical Urology book series (ACU)


Hypospadias remains one of the few pediatric urologic anomalies solely treated by surgical reconstruction. The number of published repair techniques must be unmatched for this common congenital anomaly. The term hypospadias is derived from the Greek word spadon and refers to a vent on the ventral surface of the penis. Hypospadias results from incomplete development of the anterior urethra. The abnormal urethral opening may be anywhere along the shaft of the penis, along the scrotum, or even in the perineum (see Fig. 6–1). Hypospadias is associated with penile curvature, depending on the severity of the anomaly.


Tunica Albuginea Island Flap Urethral Diverticulum Corporal Body Urethral Plate 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    American Academy of Pediatrics: Timing of elective surgery on the genitalia of male children with particular reference to the risks, benefits, and psychological effects of surgery and anesthesia. Pediatrics 1996, 97:590–594.Google Scholar
  2. 2.
    Duckett J: MAGPI (meatoplasty and glanuloplasty): a procedure for subcoronal hypospadias. Urol Clin North Am 1981, 8:513–519.PubMedGoogle Scholar
  3. 3.
    Zaontz MR: The GAP (glans approximation procedure) for glanular/coronal hypospadias. J Urol 1989, 141:359–361.PubMedGoogle Scholar
  4. 4.
    Snodgrass W: Tubularized, incised plate urethroplasty for distal hypospadias. J Urol 1994, 151:464–465.PubMedGoogle Scholar
  5. 5.
    Mathieu P: Traitement en un temps de l’hypospadias balanique et juxtabalanique. J Chir 1932, 39:481.Google Scholar
  6. 6.
    Baskin L, Duckett J: Hypospadias: long-term outcomes. In Pediatric Surgery and Urology: Long-Term Outcome. Edited by Mouriquand PDE, London M. Philadelphia: WB Saunders; 1998:559–567.Google Scholar
  7. 7.
    Mureau MA, Slijper FM, Slob AK, et al.: Satisfaction with penile appearance after hypospadias surgery: the patient and surgeon view. J Urol 1996, 155:703–706.PubMedCrossRefGoogle Scholar
  8. 8.
    Baskin LS, Duckett JW: Hypospadias. In Pediatric Surgery. Edited by O’Neill, et al. St. Louis: Mosby; 1998.Google Scholar
  9. 9.
    Duckett J, Baskin L: Hypospadias. In Adult and Pediatric Urology. Edited by Gillenwater J, Grayhack J, Howards S, Duckett J. St. Louis: Mosby; 1996:2549–2589.Google Scholar
  10. 10.
    Sides D, Goldstein RB, Baskin L, Kleiner BC: Prenatal diagnosis of hypospadias. J Ultrasound Med 1996, 15:741–746.PubMedGoogle Scholar
  11. 11.
    Hinman FJ: Penis and male urethra. In Urosurgical Anatomy. Edited by Hinman FJ. Philadelphia: WB Saunders; 1993:418.Google Scholar
  12. 12.
    Baskin LS, Lee YT, Cunha GR: Neuroanatomical ontogeny of the human fetal penis. Br J Urol 1997, 79:628–640.PubMedCrossRefGoogle Scholar
  13. 13.
    Hinman F Jr: The blood supply to preputial island flaps. J Urol 1991, 145:1232–1235.PubMedGoogle Scholar
  14. 14.
    Baskin L, Erol A, Li YW, Cunha G: Anatomical studies of hypospadias. J Urol 1998, 160(3 Pt2):1108–1115.PubMedGoogle Scholar
  15. 15.
    Hinman F Jr: Atlas of Pediatric Urologie Surgery. Philadelphia: WB Saunders; 1994.Google Scholar
  16. 16.
    Duckett JW, Keating MA: Technical challenge of the megameatus intact prepuce hypospadias (MIP) variant: the pyramid procedure. J Urol 1989, 141:1407–1409.PubMedGoogle Scholar
  17. 17.
    Retik AB, Mandell J, Bauer SB, Atala A: Meatal based hypospadias repair with the use of a dorsal subcutaneous flap to prevent urethrocutaneous fistula. J Urol 1994, 152:1229–1231.PubMedGoogle Scholar
  18. 18.
    King L: Hypospadias: a one-stage repair without skin graft based on a new principle: chordee is sometimes produced by skin alone. J Urol 1970, 103:660–662.PubMedGoogle Scholar
  19. 19.
    Thiersch C: Ueber die Entstehungsweise und operative Behandlung der epispadie. Arch Heitkunde 1869, 10:20.Google Scholar
  20. 20.
    Snodgrass W, Koyle M, Manzoni G, et al.: Tubularized incised plate hypospadias repair: results of a multicenter experience. J Urol 1996, 156:839–841.PubMedCrossRefGoogle Scholar
  21. 21.
    Baskin LS, Duckett JW, Ueoka K, et al.: Changing concepts of hypospadias curvature lead to more onlay island flap procedures. J Urol 1994, 151:191–196.PubMedGoogle Scholar
  22. 22.
    Duckett JW: The current hype in hypospadiology. Br J Urol 1995, 76(suppl 3):1–7.PubMedGoogle Scholar
  23. 23.
    Baskin L, Duckett J, Lue T: Penile curvature. Urology 1996, 48:347–356.PubMedCrossRefGoogle Scholar
  24. 24.
    Duckett JW Jr.: Transverse preputial island flap technique for repair of severe hypospadias. Urol Clin North Am 1980, 7:423–430.PubMedGoogle Scholar
  25. 25.
    Standoli L: One-stage repair of hypospadias: preputial island flap technique. Ann Plast Surg 1982, 9:81–88.PubMedCrossRefGoogle Scholar
  26. 26.
    Retik AB, Bauer SB, Mandell J, et al.: Management of severe hypospadias with a two-stage repair. J Urol 1994, 152:749–751.PubMedGoogle Scholar
  27. 27.
    Rushton HG, Belman AB: The split prepuce in situ onlay hypospadias repair. J Urol 1998, 160(3 Pt 2):1134–1136.PubMedGoogle Scholar
  28. 28.
    Baskin LS, Duckett JW: Dorsal tunica albuginea plication for hypospadias curvature. J Urol 1994, 151:1668–1671.PubMedGoogle Scholar
  29. 29.
    Baskin LS, Duckett JW: Buccal mucosa grafts in hypospadias surgery. Br J Urol 1995, 76(suppl 3):23–30.PubMedGoogle Scholar
  30. 30.
    Baskin LS: Handbook of Pediatric Urology. Philadelphia: Lippincott-Raven; 1997:28–29.Google Scholar

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© Springer Science+Business Media New York 2003

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  • Laurence S. Baskin

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