Friday, September 5, 2014

Hypospadias GOALS

Hypospadias is defined by the three major anatomic defects:
(1) the abnormal location of the urethral meatus, 
(2) penile curvature, and 
(3) abnormalities of the foreskin.

The objective in treating patients with hypospadias is to
reconstruct a straight penis for normal coitus and place
the new urethral meatus on the terminal aspect of the glans
to allow a forward directed stream. 
There are five basic steps for a successful hypospadias outcome: 
(1) orthoplasty (straightening), 
(2) urethroplasty, 
(3) meatoplasty and glanuloplasty,
(4) scrotoplasty, and 
(5) skin coverage. 
These various elements of surgical technique can be applied either sequentially

or in various combinations to achieve a surgical success.

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