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Reoperative Hypospadias Surgery and Management of Complications

  • Chapter
Urethral Reconstructive Surgery

Part of the book series: Current Clinical Urology ((CCU))

Summary

Re-operative hypospadias surgery is often complicated by the general lack of healthy tissue for urethroplasty and skin coverage. The penile skin that is present is typically scarred and has a variable and poorly defined blood supply. Each case is different and demands individualized evaluation and care. Re-operation is delayed at least 6 months after the last repair, in order to maximize tissue healing and vascularity. Earlier attempts at definitive repair are often fraught with more complications. Common post hypospadias repair complications are urethrocutaneous fistula, urethral diverticulum, persistent chordee, and ure-thral stricture. Successful reconstruction of such refractory, post-surgical strictures, requires the whole surgical armamentarium, namely vascu-larized onlay flaps, buccal mucosal grafts, and planned staged procedures.

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Author information

Authors and Affiliations

  1. Division of Urology, Department of Surgery, Washington University School of Medicine, Louis Children's Hospital, Saint Louis, MO, USA

    Douglas E. Coplen

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  1. Douglas E. Coplen
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Editors and Affiliations

  1. Division of Urologic Surgery, Department of Surgery, Washington University School of Medicine, Saint Louis, MO, USA

    Steven B. Brandes M.D., FACS

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© 2008 Humana Press, a part of Springer Science + Business Media, LLC

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Coplen, D.E. (2008). Reoperative Hypospadias Surgery and Management of Complications. In: Brandes, S.B. (eds) Urethral Reconstructive Surgery. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-59745-103-1_25

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  • DOI: https://doi.org/10.1007/978-1-59745-103-1_25

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-826-3

  • Online ISBN: 978-1-59745-103-1

  • eBook Packages: MedicineMedicine (R0)

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