Full Description
Acknowledging the fact that hypospadiology has become a true subspecialty, this unique book highlights and explores current philosophy and different principles and techniques of hypospadias repair. It offers an excellent practical guide to all surgeons involved in the management of this common, but troublesome disease. The aim is to help interested surgeons to develop vision, philosophy and talent rather than just enumerate techniques. It is well illustrated with ample colour diagrams and photographs of various operations together with many technical tips. All surgeons in training will benefit by reading this book in preparing for their higher examinations and their surgical training. There is a wide diversity of opinions, and a large number of operations have been described. Here, the team of world class authors present an expert overview on the management of this condition.
Contents
I General.- 1 Evolution of Hypospadias Surgery: Historical Perspective.- 2 Men Behind Principles and Principles Behind Techniques.- 3 Epidemiology of Hypospadias.- 4 Genetic Aspects of Hypospadias.- 5.1 Embryology and Anatomy of Hypospadias.- 5.2 Blood Supply of the Penile Skin.- 5.3 Classification of Hypospadias.- 6.1 Timing of Elective Hypospadias Repair.- 6.2 General Principles.- 7 Plastic Surgery Principles.- 8 Principles of Hypospadias Surgery.- 9 Analgesia and Pain Control.- II Operative.- 10 Chordee (Penile Curvature).- 11 Meatal Advancement and Glanuloplasty (MAGPI) Procedure.- 12 Urethral Advancement, Glanuloplasty and Preputioplasty in Distal Hypospadias.- 13.1 Thiersch-Duplay Principle.- 13.2 Megameatus Intact Prepuce Variant.- 14.1 The Meatal-based Flap "Mathieu" Technique.- 14.2 The Y-V Glanuloplasty Modified "Mathieu" Technique.- 15 Tubularized Incised Plate Urethroplasty.- 16.1 The Island Onlay Hypospadias Repair.- 16.2 Tubularised Preputial Island Flap.- 17 Single-StageProcedure for Severe Hypospadias: Onlay-Tube-Onlay Modification of the Transverse Island Preputial Flap.- 18 The Modified Asopa (Hodgson XX) Procedure to Repair Hypospadias with Chordee.- 19 Koyanagi-Nonomura One-Stage Repair for Severe Perineal Hypospadias.- 20 The Yoke Hypospadias Repair.- 21 Lateral-based Flap With Dual Blood Supply: A Single-Stage Repair for Proximal Hypospadias.- 22 Grafts for One-Stage Repair.- 23 Two-Stage Urethroplasty.- 24 Protective Intermediate Layer.- 25 Procedures to Improve the Appearance of the Meatus and Glans.- 26 Penoscrotal Transposition Associated With Hypospadias.- 27.1 Flaps Versus Grafts.- 27.2 Single-Stage Versus Two-Stage Repair.- 27.3 Stenting Versus No Stenting.- 27.4 Dressing Versus No Dressing.- III Complications and Late Sequelae.- 28.1 Early Complications.- 28.2 Fistula Repair.- 28.3 Cecil-Culp Operation.- 28.4 Modified Cecil-Culp Technique for Repair of Urethrocutaneous Fistula.- 29 Meatal Stenosis and Urethral Strictures After Hypospadias Surgery.- 30 Urethral Diverticula and Acquired Megalourethra.- 31 Management of Failed Hypospadias Repairs.- 32 The Long-Term Consequences of Hypospadias.- 33 Psychological Problems and Adjustment.- 34 Uncommon Conditions and Complications.- 35 Editorial Overview of the Current Management of Hypospadias.- 36 Potential Techniques and Future Research.- References.
