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Management of Hypospadias Cripple

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Hypospadiology

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Abstract

Hypospadias surgery is a complex one, having more chances of complications. The number, final outcome of repair, and extent of adulthood complications of the hypospadias repair during childhood are poorly defined. When multiple surgeries fail, it will lead to functional loss of the penis, landing in the problem of “hypospadias cripple.” The initial repair goals are to reconstruct an adequate size and straight penis for successful intercourse and a forward-directed projectile urinary stream. This can be achieved by chordee correction, urethroplasty, meatoplasty/glansplasty, scrotal transposition repair, and skin coverage. It is more difficult to treat patients with multiple complications hypospadias repair and are likely to leave with significant deformities worse than the primary congenital anomaly itself. The complications are considerably more significant in redo surgeries than for primary repairs with the same surgical technique. These facts guide us to think about careful patient selection, modification in the techniques, adding supportive and healthy tissue cover, designing skin flaps for skin cover, and choosing a procedure that may not commonly be used for primary repair.

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Authors and Affiliations

  1. Bhat’s Hypospadias and Reconstructive Urology Hospital and Research Centre, Jaipur, Rajasthan, India

    Amilal Bhat

  2. Department of Urology, Jaipur National University Institute for Medical Sciences and Research Centre, Jaipur, Rajasthan, India

    Amilal Bhat

  3. Department of Urology, Dr. S.N. Medical College, Jodhpur, Rajasthan, India

    Amilal Bhat

  4. Department of Urology, S.P. Medical College, Bikaner, Rajasthan, India

    Amilal Bhat

  5. P.G. Committee Medical Council of India, New Delhi, India

    Amilal Bhat

  6. Academic and Research Council of RUHS, Jaipur, Rajasthan, India

    Amilal Bhat

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  1. Amilal Bhat
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Editors and Affiliations

  1. Bhat’s Hypospadias and Reconstructive Urology Hospital and Research Centre, Jaipur, Rajasthan, India

    Amilal Bhat

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Bhat, A. (2022). Management of Hypospadias Cripple. In: Bhat, A. (eds) Hypospadiology . Springer, Singapore. https://doi.org/10.1007/978-981-16-8395-4_22

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  • DOI: https://doi.org/10.1007/978-981-16-8395-4_22

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-16-8394-7

  • Online ISBN: 978-981-16-8395-4

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