Current Trends in Hypospadias Repair. Where are we Standing?
5 January 2019
Purpose: Although several surgical approaches are suggested for hypospadias reconstruction but there is not a consensus on the best surgical method of hypospadias repair. This is a survey about technique of choice in treatment of various types of hypospadias.
Method and materials: We asked about preferred method of treatment for three different hypospadias scenarios. 170 surgeons completed the questionnaire and enrolled in this study.
Results: 51 general urologists, 61 pediatric surgeon, 16 plastic surgeons and 42 pediatric urologists joined the survey. Preferred method of surgery for a distal hypospadias was TIP in 53.5%. TIP was offered by 39.4% , Two stage Urethroplasty in 24.7% and Island On lay Flap in 21.2% to repair a proximal hypospadias without cordee. Two-stage Bracka or Durham Smith were common surgical options in proximal hypospadias surgery with cordee.
Conclusion: A growing trend was detected on TIP repair of distal and proximal hypospadias without cordee.
Horowitz M, Salzhauer E. The ‘learning curve’in hypospadias surgery. BJU international. 2006;97(3):593-6.
Macedo Jr A, Rondon A, Ortiz V. Hypospadias. Current opinion in urology. 2012;22(6):447-52.
Lambert SM, Snyder HM, Canning DA. The history of hypospadias and hypospadias repairs. Urology. 2011;77(6):1277-83.
Hadidi AT. History of hypospadias: Lost in translation. Journal of pediatric surgery. 2017;52(2):211-7.
Snodgrass W, Macedo A, Hoebeke P, Mouriquand PD. Hypospadias dilemmas: a round table. Journal of Pediatric Urology. 2011;7(2):145-57.
Springer A, Krois W, Horcher E. Trends in hypospadias surgery: results of a worldwide survey. European urology. 2011;60(6):1184-9.
Manzoni G, Bracka A, Palminteri E, Marrocco G. Hypospadias surgery: when, what and by whom? BJU international. 2004;94(8):1188-95.
Timmons M. The UK primary hypospadias surgery audit 2006–2007. Journal of plastic, reconstructive & aesthetic surgery. 2010;63(8):1349-52.
Snodgrass WT, Bush N, Cost N. Tubularized incised plate hypospadias repair for distal hypospadias. Journal of Pediatric Urology. 2010;6(4):408-13.
Cook A, Khoury AE, Neville C, Bagli DJ, Farhat WA, Salle JLP. A multicenter evaluation of technical preferences for primary hypospadias repair. The Journal of urology. 2005;174(6):2354-7.
Barbagli G, Perovic S, Djinovic R, Sansalone S, Lazzeri M. Retrospective descriptive analysis of 1,176 patients with failed hypospadias repair. The Journal of urology. 2010;183(1):207-11.
Bhandarkar K, Garriboli M. Repair of Distal Hypospadias: Cosmetic or Reconstructive? UROLOGY. 2019.
Misra D, Elbourne C, Vareli A, Banerjee D, Joshi A, Friedmacher F, et al. Challenges in managing proximal hypospadias: A 17-year single-center experience. Journal of Pediatric Surgery. 2019;54(10):2125-9.
- Abstract Viewed: 0 times
- Just Accepted/6081 Downloaded: 0 times