Hypospadias

Introduction ,[object Object],[object Object],[object Object],[object Object]

Embryology ,[object Object],[object Object],[object Object],[object Object],[object Object]

Aetiology ,[object Object],[object Object],[object Object]

Risk factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hypospadiac penile anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object]

Clinical Features ,[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment Plan Prevention of urethral plate , skin & dartos dissection Distal Proximal Glans configuration Meatal quality & location Urethral plate width Assess curvature Dorsal plication if necessary MAGPI GAP/Pyramid Tubularization Snodgrass Assess curvature Dorsal plication if necessary Rarely resect plate Onlay Two stage Bracka two-stage buccal graft

“MAGPI” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

“GAP” Procedure ,[object Object],[object Object],[object Object],[object Object]

Pyramid procedure ,[object Object],[object Object],[object Object]

“ Mathieu” or Perimeatal-based procedure ,[object Object],[object Object],[object Object],[object Object]

“ Snodgrass” Tubularized incised plate urethroplasty ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

“ Snodgrass” Tubularized incised plate urethroplasty ,[object Object]

Posterior hypospadias ,[object Object],[object Object],[object Object],[object Object]

Onlay island flap Indication-pt with narrow urethral plate,thin ventral skin, no chordee

Transverse tubularized island flap

Two-stage hypospadias repair ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Bracka two-stage buccal graft repair

Different tissues used for correction of hypospadias

Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

General considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hypospadias

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Hypospadias