It is still debatable whether single- or two-stage urethroplasty is a more suitable technique for treating hypospadias with severe chordee after urethral plate transection. This retrospective study evaluated these two techniques. A total of 66 patients of proximal hypospadias with severe chordee were divided into two groups according to the techniques they underwent: 32 and 34 patients underwen...

PURPOSE Various techniques have been described to correct distal hypospadias but many are best suited to patients with subtle specific nuances of meatal and/or glanular configuration. We describe a simplified approach to these defects using the modified Thiersch-Duplay technique with or without hinging the urethral plate (the Snodgrass maneuver). MATERIALS AND METHODS Between 1990 and 1997 we...

Traditionally, anastomotic procedures with transection and urethral excision are suggested for short bulbar strictures, while longer strictures are treated by patch graft urethroplasty preferably using the buccal mucosa as gold-standard material due to its histological characteristics. However, anastomotic urethroplasties may cause sexual complications related to vascular damage of the spongios...

BACKGROUND Hypospadias is one of the most common congenital genital anomalies in males that necessitates to be operated early in infancy (when 6 to 9 months old). On the other hand, hypospadias is a challenging field of pediatric urology with multiple reconstruction techniques. A perfect hypospadias repair is supposed to return urethral continuity with sufficient caliber, eradicate phallus curv...

AIM To report the experience with single stage dorsal inlay buccal mucosal grafts using the Snodgrass technique for complex redo cases. METHODS From May 2004 to December 2005, a total of 53 patients aged from 3 to 34 years old (average 11.62 +/- 7.18 years) with failed previous hypospadias surgery were included in the present study. Indications included urethral strictures and repair breakdow...

Introduction: Hypospadias is a common congenital malformation in boys. One of the common surgical techniques for correction of hypospadias is (Tubularized Incised Plate urethraplasty=TIP). Meatal stenosis and fistula formation are known post-operative complications. The purpose of our study was to evaluate the effect of early urethral dilatation in prevention of post operative complications. Me...

To test for the presence of Neisseria gonorrhoeae infection, culture speciments were taken from the endocervical, urethral, and rectal sites in 556 women seen at the Alameda County Venereal Disease Clinic, Oakland, California, U.S.A. There was no significant difference between the number of new cases found with the rectal speciments alone (nine out of a total of 154 cases diagnosed) and those r...

PURPOSE To describe a new technique for staged hypospadias repair in which the urethral plate is divided and tubularized transverse island flap prefabricated partial distal urethral at the time of the first stage. MATERIALS AND METHODS Sixteen patients with proximal hypospadias associated with severe chordee were operated on using a new staged technique. At the time of the first stage, the ur...

Urethral duplication is a rare congenital anomaly that is usually seen in males and, in rare cases, in females. Several different anatomical variations have been described. Sagittal localisation is the most common type of urethral duplication that usually develops as an isolated malformation. Coronal duplications, on the other hand, are rarer and are found in association with bladder duplicatio...