HYPOSPADIAS SURGERY: CHALLENGES AND LIMITS

HYPOSPADIAS SURGERY: CHALLENGES AND LIMITS

Library of Congress Cataloging-in-Publication Data

Contents

Preface

Chapter 1: Hypospadias: Anatomy and Etiology

Abstract

Introduction

Classification of Hypospadias

Etiology of Hypospadias

Environmental Promoters and Disruptors

Penile Curvature

References

Chapter 2: Hypospadiac Genital Tubercle: Definition, Epidemiology, Embryology and Etiology

Abstract

Introduction

Definition and Anatomy

Epidemiology

Embryology and Genital Development

Etiology

Conclusion

References

Chapter 3: Penile Curvature and Hypospadias: Incidence, Diagnosis and Treatment

Abstract

Introduction

Incidence

Diagnosis

Treatment

Conclusion

Acknowledgments

References

Chapter 4: Chordee without Hypospadias

Abstract

Introduction

Classification

Nomenclature

Philosophy and Challenge of Management

Surgical Approach

Resection of Pathological Urethra and Replacement Urethroplasty

Postoperative Care

Literature Review and Surgical Outcome

Conclusion

References

Chapter 5: Tubularized Incised Plate for Distal and Proximal Primary Hypospadias Repair

Abstract

Introduction

Distal Hypospadias

Proximal Hypospadias

Conclusion - Improving Hypospadias Outcomes

References

Chapter 6: Vascularized Flaps for Hypospadias Repair

Abstract

Introduction

Vascularized Flaps

Outcomes

Conclusion

References

Chapter 7: Full-Thickness Skin Grafts for Hypospadias Repair

Abstract

Introduction

Advantages and Disadvantages of Various Tissues Types for Grafting

Donor Sites for Full-Thickness Skin Grafts

Principles of Full-Thickness Skin Grafting

One-Stage versus Two-Stage Grafting

Outcomes of Full-Thickness Skin Grafts

Special Considerations

Conclusion

References

Chapter 8: Buccal Mucosa Graft: Role in Hypospadias Surgery

Abstract

Introduction

Anatomy

Buccal Mucosa for Initial Hypospadias Repair

Buccal Mucosa for Reoperative Surgery

Conclusion

References

Chapter 9: The Role of Tunica Vaginalis in Hypospadias Repair

Abstract

Introduction

Experimental Data on Tunica Vaginalis Urethroplasty

Tunica Vaginalis and Fistula Closure

Tunica Vaginalis and Primary Repair (Barrier Layer)

Tunica Vaginalis and Urethroplasty

Tunica Vaginalis Flap and Corporoplasty

Conclusion

References

Chapter 10: Combined Flaps and Grafts Urethroplasty in Severe Hypospadias Repair

Abstract

Introduction

Surgical Technique

Comment

Conclusion

Acknowledgments

References

Chapter 11: Urethral Reconstruction after Failed Hypospadias Repair

Abstract

Introduction

Preoperative Evaluation and Patient Counselling

Surgical Techniques

Postoperative Care and Complications

Discussion

Conclusion

References

Chapter 12: Non-Urethral Complications after Hypospadias Repair

Abstract

Introduction

Glans Deformities

Residual Curvature

Penile Skin Deficiency

General Considerations

Conclusion

Acknowledgments

References

Chapter 13: Hypospadias Cripple: Challenges and Limits

Abstract

Introduction

Surgical Technique

Complications

Conclusion

References

Chapter 14: Psychosocial and Psychosexual Aspects after Hypospadias Repair

Abstract

Introduction

Long-Term Outcomes

One Model Cannot Fit All

Conclusion and Challenges for the Future

References

Index