Hypospadias is one of the common congenital malformations of the urogenital system in children, with a high incidence and an increasing trend. And the incidence rate of severe hypospadias is increasing year by year, which seriously affects the penile development of the patient. With deepened understanding of hypospadias, accumulated experience in its diagnosis and treatment, and continuous improvement of surgical strategies, the success rate of surgical repair of hypospadias has been elevated to a certain extent. However, quite a few problems remain to be studied, such as the high rate of complications, insufficient understanding of penile curvature, long-term follow-up recurrence of penile curvature, selection of strategic staged surgery, etc. This article analyzes the treatment of severe hypospadias and related problems, and provides some reference for clinicians in surgical repair of severe hypospadias.
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