Hypospadias

Objective. The great possibility of variations in the clinical presentation of hypospadia, makes its therapy challenging. This has led to the development of a number of techniques for hypospadia repair. This article assesses past and present concepts and operative techniques with the aim of broadeni...

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Main Authors: N. Djakovic, J. Nyarangi-Dix, A. Özturk, M. Hohenfellner
Format: Article
Language:English
Published: Wiley 2008-01-01
Series:Advances in Urology
Online Access:http://dx.doi.org/10.1155/2008/650135
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author N. Djakovic
J. Nyarangi-Dix
A. Özturk
M. Hohenfellner
author_facet N. Djakovic
J. Nyarangi-Dix
A. Özturk
M. Hohenfellner
author_sort N. Djakovic
collection DOAJ
description Objective. The great possibility of variations in the clinical presentation of hypospadia, makes its therapy challenging. This has led to the development of a number of techniques for hypospadia repair. This article assesses past and present concepts and operative techniques with the aim of broadening our understanding of this malformation. Materials and Methods. The article not only reviews hypospadia in general with its development and clinical presentation as well as historical and current concepts in hypospadiologie on the basis of available literature, but it is also based on our own clinical experience in the repair of this malformation. Results and Conclusion. The fact that there are great variations in the presentation and extent of malformations existent makes every hypospadia individual and a proposal of a universal comprehensive algorithm for hypospadia repair difficult. The Snodgrass technique has found wide popularity for the repair of distal hypospadias. As far as proximal hypospadias are concerned, their repair is more challenging because it not only involves urethroplasty, but can also, in some cases, fulfil the dimensions of a complex genital reconstruction. Due to the development of modern operating materials and an improvement in current surgical techniques, there has been a significant decrease in the complication rates. Nonetheless, there still is room and, therefore, need for further improvement in this field.
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series Advances in Urology
spelling doaj-art-1032fd9ef4f147f89c10286ea3247e0d2025-02-03T01:10:16ZengWileyAdvances in Urology1687-63691687-63772008-01-01200810.1155/2008/650135650135HypospadiasN. Djakovic0J. Nyarangi-Dix1A. Özturk2M. Hohenfellner3Department of Urology, University of Heidelberg, Medical Center, 69120, Heidelberg, GermanyDepartment of Urology, University of Heidelberg, Medical Center, 69120, Heidelberg, GermanyDepartment of Urology, University of Heidelberg, Medical Center, 69120, Heidelberg, GermanyDepartment of Urology, University of Heidelberg, Medical Center, 69120, Heidelberg, GermanyObjective. The great possibility of variations in the clinical presentation of hypospadia, makes its therapy challenging. This has led to the development of a number of techniques for hypospadia repair. This article assesses past and present concepts and operative techniques with the aim of broadening our understanding of this malformation. Materials and Methods. The article not only reviews hypospadia in general with its development and clinical presentation as well as historical and current concepts in hypospadiologie on the basis of available literature, but it is also based on our own clinical experience in the repair of this malformation. Results and Conclusion. The fact that there are great variations in the presentation and extent of malformations existent makes every hypospadia individual and a proposal of a universal comprehensive algorithm for hypospadia repair difficult. The Snodgrass technique has found wide popularity for the repair of distal hypospadias. As far as proximal hypospadias are concerned, their repair is more challenging because it not only involves urethroplasty, but can also, in some cases, fulfil the dimensions of a complex genital reconstruction. Due to the development of modern operating materials and an improvement in current surgical techniques, there has been a significant decrease in the complication rates. Nonetheless, there still is room and, therefore, need for further improvement in this field.http://dx.doi.org/10.1155/2008/650135
spellingShingle N. Djakovic
J. Nyarangi-Dix
A. Özturk
M. Hohenfellner
Hypospadias
Advances in Urology
title Hypospadias
title_full Hypospadias
title_fullStr Hypospadias
title_full_unstemmed Hypospadias
title_short Hypospadias
title_sort hypospadias
url http://dx.doi.org/10.1155/2008/650135
work_keys_str_mv AT ndjakovic hypospadias
AT jnyarangidix hypospadias
AT aozturk hypospadias
AT mhohenfellner hypospadias