Hypospadias a Review of 230 Cases

Ross, Jonathan; Farmer, A. W.; Lindsay, William K.

doi:10.1097/00006534-195910000-00006

Cited by 28 publications

(8 citation statements)

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“…Excluding the complications of chordee and meatal stenosis, which were present in most cases of hypospadias in various degrees, the most frequent association was genito-urinary anomalies (35%) followed by hernias (15%). This agrees with the study of Ross et al (1959) where undescended testes (62%) were most often encountered followed by hernias (32%).…”

Section: Resultssupporting

confidence: 92%

Genetic studies on hypospadias in males.

Chen¹,

Woolley²

1971

Journal of Medical Genetics

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Section: Resultssupporting

confidence: 92%

Genetic studies on hypospadias in males.

Chen¹,

Woolley²

1971

Journal of Medical Genetics

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“…Numerous reports indicate that there is higher than normal incidence of urogenital and extraurogenital anomalies associated with patients suffering from hypospadias [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15]. Those abnormalities can be divided into three types: type 1, genital anomalies (other than hypospadias itself and chordee); type 2, urinary tract anomalies; and type 3, extraurogenital anomalies.…”

Section: Introductionmentioning

confidence: 99%

“…and insignificant anomalies (such as bifid pelvis, kidney malrotation, ectopic kidney, etc.) [3,5,12]. Moreover, the definition of significant is controversial.…”

Section: Introductionmentioning

confidence: 99%

Detection and incidence of anomalies associated with hypospadias

et al. 2008

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Hypospadias has been associated with synchronous congenital anomalies, especially in the urogenital system, and routine screening of patients with hypospadias has been advocated. In recent years, ultrasound (US) has replaced intravenous pyelography (IVP) as the primary screening test for urological deformities, yet there has never been a study of the relative diagnostic efficacy of the two tests in these patients. In this study, we assessed the incidence of urogenital and extraurogenital congenital anomalies in our hypospadias patients that were noted during physical examination and/or laboratory and imaging screening, and evaluated the efficacy of our changing routine screening protocols. We conducted a retrospective analysis of the charts of all hypospadias patients seen at Assaf Harofeh Medical Center. One hundred and sixty-three hypospadias patients fulfilled the documentation criteria we set for this study. We found a high incidence of urogenital and extraurogenital anomalies associated with hypospadias and noted a previously unreported increased incidence of various forms of facial dysmorphism. Additionally, we noted that the accepted concept that US or IVP alone were satisfactory screening tools for asymptomatic low-grade hypospadias patients is probably incorrect. Based on our findings, we recommend that initial screening of all asymptomatic hypospadias patients include US, cystogram, urinalysis, and urine culture.

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“…There are a number of studies on surgical techniques, complications and the outcome of childhood hypospadias surgery in the literature [1][2][3][4][5] , but there are still little data on hypospadias surgery in adults. Most of these data are on the psychosocial consequences [6][7][8][9][10] of the surgery, but only a few studies report data on the overall success and complications of hypospadias repair in adults [11][12][13][14] .…”

Section: Introductionmentioning

confidence: 99%

Distal Hypospadias Repair in Adults: The Results of 97 Cases

Adayener¹,

Akyol

2006

Urol Int

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Introduction: We reviewed our 9-year experience on 97 men with distal hypospadias who had undergone hypospadias surgeries. Subjects and Methods: Patients were divided into two groups: group 1 included 17 men who had one or more unsuccessful surgeries in their childhood, and group 2 included 80 men with no previous hypospadias repairs. Meatal positions were glanular in 6, coronal in 35 and subcoronal in 56 patients. Our 97 hypospadias surgeries involved 42 meatal advancement and glanuloplasty, 41 Mathieu and 14 tubularized incised plate urethroplasty procedures. Results: The overall success rate was 88% (86 of the 97 patients). The success rate was 76.5% for group 1 (13 of the 17 patients) and 91.3% for group 2 (73 of the 80 patients). Better voiding function and good cosmetic appearance was achieved in all patients. Urinary flow rates were significantly higher in all groups postoperatively. The success rates were 91.4 and 85% for the patients with preoperative coronal and subcoronal meatal positions, respectively. The success rate was significantly lower in crippled cases and in cases with longer neourethra. Conclusion: Although the same techniques are used for children and adults in hypospadias surgery, the results in adults differ from those in children. The success rate for primary adult cases is quite acceptable, but it is decreased in patients having longer neourethra and having multiple previous interventions.

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Hypospadias a Review of 230 Cases

Cited by 28 publications

References 0 publications

Genetic studies on hypospadias in males.

Genetic studies on hypospadias in males.

Detection and incidence of anomalies associated with hypospadias

Distal Hypospadias Repair in Adults: The Results of 97 Cases

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