Table 2: Algorithm for the management of hypospadia

Hypospadia

 

 

Diagnosis		Intersex
at birth
Paediatric		No
urologist		reconstruction

Reconstruction required

Preparation

(foreskin, hormone therapy)

Distal

Proximal

 

Chordee

No Chordee

 

Urethral plate cut

Urethral plate preserved

 

MAGPI, Mathieu, King, Duplay, Snodgrass etc.

Tube-onlay

Inlay-onlay,

Two-stage procedure

Onlay local skin, buccal mucosa

REFERENCES

Abu Arafeh W, Chertin B, Zilberman M, Farkas A.

One-stage repair of hypospadias: experience with 856 cases. Eur Urol 1998; 34: 365-367.

Ahmed S, Gough DC.

Buccal mucosal graft for secondary hypospadias repair and urethral replacement. Br J Urol 1997; 80:328-330.

Aho MO, Tammela OK, Tammela TL.

Aspects of adult satisfaction with the result of surgery for hypospadias performed in childhood. Eur Urol 1997; 32: 218-222.

Asopa HS.

Newer concepts in the management of hypospadias and its complications. Ann R Coll Surg Engl 1998; 80: 161-168.

Baskin LS, Duckett JW.

Dorsal tunica albuginea plication for hypospadias curvature. J Urol 1994; 151: 1668-1671.

Baskin LS, Duckett JW, Ueoka K, Seibold J, Snyder HM.

Changing concepts of hypospadias curvature lead to more onlay island flap procedures. J Urol 1994; 151:191-196.

Borer JG, Retik AB.

Current trends in hypospadias repair. Urol Clin North Am, 1999; 26: 15-37.

Bracka A.

Hypospadias repair: the two-stage alternative. Br J Urol 1995; 76 Suppl 3: 31-41.

Bronshtein M. Riechler A, Zimmer EZ.

Prenatal sonographic signs of possible fetal genital anomalies. Prenat Diagn 1995; 15: 215-219.

Burbige К A.

Simplified postoperative management of hypospadias repair. Urology 1994; 43: 719-721.

11. Buson H, Smiley D, Reinberg Y, Gonzalez R.

Distal hypospadias repair without stents: is it better? J Urol 1994; 151: 1059-1060.

12. Caldamone AA, Edstrom LE, Koyle MA, Rabinowitz R, Hulbert WC.
Buccal mucosal grafts for urethral reconstruction. Urology 1998; 51: 15-19.

De Grazia E, Cigna RM, Cimador M.

Modified-Mathieu's technique: a variation of the classic procedure for hypospadias surgical repair. Eur J Pediatr Surg 1998; 8: 98-99.

14. Dubois R, Pelizzo G, Nasser H, Valmalle AF, Dodat H.

Les fistules de I'uretre apres traitement chirurgical d'hypospadias. A propos d'une serie de 74 cas. Prog Urol 1998; 8: 1029-1034.

Duckett JW.

The current hype in hypospadiology. Br J Urol 1995; 76 Suppl 3: 1-7.

Fichtner J, Filipas D, Mottrie AM, Voges GE, Hohenfellner R.

Analysis of meatal location in 500 men: wide variation questions need for meatal advancement in all pediatric anterior hypospadias cases. J Urol 1995; 154: 833-834.

Fichtner J, Thuroff J.

Leitlinie zur Hypospadie und therapeutische Empfehlungen. Urologe A 1998; 37: 665-666.

Fichtner J, Fisch M, Filipas D, Thuroff JW, Hohenfellner R.

Refinements in buccal mucosal grafts urethroplasty for hypospadias repair. World J Urol 1998; 16:192-194.