Tips and Tricks about hypospadias repair AnneFranoise Spinoit
Tips and Tricks about hypospadias repair Anne-Françoise Spinoit Department of Urology, University Hospital Ghent, Belgium
VOIDING IN A STANDING urethroplasty POSITION SATISFYING SEXUAL FUNCTION Orthoplasty while preserving innervation NORMAL ASPECT OF PENIS Cosmetics: shape of glans Aims of RECONSTRUCTION
ECTOPIC OPENING VENTRAL CURVATURE HOODED PREPUCE HYPOSPADIAS?
Wat is HYPOSPADIAS?
HYPOSPADIAS?
The challenge of distal hypospadias
• Essential for glans reconstruction. • Incision is the key point. • A deep cut along the urethral plate deep into the tissue of the glans Glans Incision
severity of hypospadias age at surgery ? type of technique used for reconstruction type of material used for reconstruction Tips? ?
Predictive factors in hypospadias reconstruction? Grade of hypospadias is the only factor predicting for reintervention after primary hypospadias repair IT DOES NOT MATTER!
Predictive factors in hypospadias reconstruction? Grade of hypospadias is the only factor predicting for reintervention after primary hypospadias repair severity of hypospadias age at surgery type of technique used for reconstruction type of material used for reconstruction
Predictive factors in hypospadias reconstruction? Grade of hypospadias is the only factor predicting for reintervention after primary hypospadias repair SEVERITY is only predictor for RE-INTERVENTION
Conclusions Technique does not matter as long as you have enough experience to choose the right rone given the clinical presentation Experience in hypospdias is crucial
Tips and tricks Anne-Françoise Spinoit Department of Urology, University Hospital Ghent, Belgium
- Slides: 19