Long-term outcome of hypospadias surgery

Abstract

Efforts are made to coordinate the management and evaluation of disorders of sex development (DSD) patients and more specifically hypospadias patients. National, European (EuroDSD) and international (consensus conferences) aim at finding common tracks to improve the quality of treatment and follow-up.

Grade of hypospadias is the only factor predicting for re-intervention after primary hypospadias repair: A multivariate analysis from a cohort of 474 patients

“…This might lead to underestimation of the severity of the hypospadias, as the level of the division of the corpus spongiosum is considered far more accurate by some authors in the evaluation of the severity of hypospadias [2,11]. But this flaw concerns the whole cohort, making at the end probably no difference when comparing the different groups of hypospadias.…”

“…Although it may look straightforward to identify hypospadias and to define it, many definitions on the grade of hypospadias are still in use [1e3,5], and its clinical management still varies greatly from one center to another [11]. There is an ongoing trend on trying to set standards in the evaluation of outcome with standard questionnaires [12e14], which is essential.…”

Current hypospadias management: Diagnosis, surgical management, and long-term patient-centred outcomes

“…19 Therapy must be stopped 1-2 months prior to surgery to avoid adverse effects during or after surgery. 20 …”

Effects of Different Suture Materials Used for the Repair of Hypospadias: A Stereological Study in a Rat Model

“…In hypospadias surgery the most important issue is preservation of the function and esthetic outcomes [4]. The outcome of hypospadias repair surgery depends on the technique and the instrumentation including suture material used and the suturing technique employed [4,5,6,7]. Choosing appropriate suture material for hypospadias surgery depends on several factors including personal preferences, availability and types of material.…”