Abstract
Despite major advancement in surgery, complications are common after hypospadias surgery. One third of the daily operative program is to correct hypospadias complications. Failed hypospadias repair is challenging because many surgeons perform circumcision during hypospadias repair. There are limited healthy skin and fascia available to help urethral reconstruction after failed hypospadias. The general principles of reconstructing wide well-vascularized neourethra, the use of protective intermediate layer, and urinary diversion are the same as in primary hypospadias repair. Adjuvant therapies in the form of nitroglycerine and hyperbaric oxygen are gaining popularity. Buccal mucosal grafts, full skin grafts, and tissue expanders may help to compensate for the lack of healthy tissues in severe cases.
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Abbreviations
- BILAB:
-
Bilateral-based flap
- BXO:
-
Balanitis xerotica obliterans
- DYG:
-
Double Y glanulomeatoplasty
- FUO:
-
Functional urethral obstruction
- LABO:
-
Lateral-based onlay flap
- SLAM:
-
Slit-like adjusted Mathieu
- TALE:
-
Tunica albuginea longitudinal excision
- TIP:
-
Tubularized incised plate
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Hadidi, A.T. (2022). Management of Failed Hypospadias Surgery. In: Hadidi, A.T. (eds) Hypospadias Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-94248-9_63
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