Hypospadias is a common congenital anomaly of the penis in which the urethra opens proximal to its normal position at the tip of the glans and the overall incidence of hypospadias is between 0.3% and 0.6%. Distal penile hypospadias is the commonest amongst all hypospadias cases. One stage urethroplasty was performed among 64 cases using Mathieu-Mullen's procedure or Snodgrass Belman procedure. Of these 64 cases, in 29 cases the Mathieu-Mullen's procedure was followed and in the rest 35 cases of distal penile hypospadias the Snodgrass Belman procedure was employed. These two procedures were retrospectively compared in terms of operating time, operative blood loss, cosmetic result, postoperative fistula rate, duration of operation.
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Mymensingh Med J
January 2025
Dr Md Abdullah Al Mahmud, Assistant Professor, Pediatric Surgery, Mymensingh Medical College (MMC), Mymensingh, Bangladesh; E-mail:
Hypospadias is the absence of external urethral meatus in the tip of the glans but present in the ventral surface of the penis. Hypospadias surgery is challenging and changing. Many modifications have been done to reduce the complications.
View Article and Find Full Text PDFBeijing Da Xue Xue Bao Yi Xue Ban
December 2024
Department of Urology, Beijing Jishuitan Hospital, Capital Medical Universitay, Beijing 100035, China.
Objective: To evaluate the surgical methods for treating distal urethral stricture.
Methods: The clinical data of 80 patients with distal urethral stricture in Beijing Jishuitan Hospital, Captial Medical University between January 2018 and December 2022 were retrospectively collected. Including male genital lichen sclerosus (MGLS) 33 cases, iatrogenic injury 25 cases, postoperative hypospadias 12 cases, and other causes such as trauma 10 cases.
Pediatr Surg Int
December 2024
Department of Pediatric Surgery and Urology, Meyer Children's Hospital IRCCS, Viale Pieraccini 24, 50134, Florence, Italy.
Introduction: Urethrocutaneous fistula (UCF) is the most common complication after hypospadias repair, with an variable incidence of 2-35%, depending on defect type. The interposition of tissue between the neourethra and the skin or glans is considered an important factor to reduce the risk of UCF. Literature has focused on the comparison of different types of second layers, but there is still no consensus regarding the best tissue to adopt.
View Article and Find Full Text PDFAnn Plast Surg
January 2025
Centre for Reproductive Medicine and Andrology, Department of Clinical and Surgical Andrology, University Hospital Muenster, Muenster, Germany.
Genital gender-affirming masculinization surgeries require handling of small vessels and nerves handling in deep planes. Since the introduction of the Symani Surgical System for robotic-assisted microsurgery in clinical practice, its value in handling small and deep vessels via additional distal motion axes, motion scaling, and tremor elimination has been demonstrated. We combined the Symani with the robotic exoscope RoboticScope to achieve maximum flexibility and ergonomics for the microsurgeon.
View Article and Find Full Text PDFJ Sex Med
December 2024
Microsurgical Potency Reconstruction Center, Shu-Tien Urology Ophthalmology Clinic, Taipei 10662, Taiwan.
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