What defines ‘severe’ hypospadias? The authors describe those having ‘proximal division of the corpus spongiosum’, but others might consider penoscrotal to perineal hypospadias the ‘severe’ cases, while another definition in this era of urethral plate-based urethroplasty might be those whose ventral curvature leads to plate transection. Less ambiguous terms are needed for surgeons to clearly co...

OBJECTIVE To describe a new scheme of skin cover in epispadias repair to improve the aesthetic results and minimize complications. PATIENTS AND METHODS In the last 4 years, 7 male continent epispadias (aged 2-5 years) undergoing Cantwell-Ransley repair received a new technique of skin cover. After a U-shaped incision along the margin of urethral plate, a transverse incision beginning at the m...

OBJECTIVE Snodgrass urethroplasty remains the preferred technique in primary distal hypospadias but development of meatal stenosis often limits distal extension of the midline incision of the urethral plate (MIUP), which remains a limiting factor in reconstructing an apical neomeatus (NM). We here-in assess the cosmetic and functional outcome with distal extension of the MIUP in grafted tubular...

PURPOSE Repair of bulbar strictures using anastomotic techniques may cause sexual complications, while 1-side graft urethroplasties may not be sufficient to provide an adequate lumen in narrow strictures. We evaluated the urinary and sexual results of a 2-sided dorsal plus ventral graft urethroplasty by preserving the narrow urethral plate in tight strictures. MATERIALS AND METHODS Between 20...

AIM In this study, the experience of tubularized incised plate repair in circumcised adults in terms of functional, cosmetic, and satisfactory results is reported. METHODS Tubularized incised plate repair urethroplasty (TIPU) was performed to 27 circumcised adult patients between 2008- 2010; 19 (70.4%) had distal penile hypospadias and eight (29.6%) had midshaft hypospadias. All patients were...

In cases of repair of urethrocutaneous fistulae developing after primary hypospadias surgery, tubularisation often becomes difficult after excision of scar tissue. It is also well-known that this type of fistulae has a high recurrence rate. In this study of 15 cases, the aim is to analyze the results of conventional urethrocutaneous fistula repair, augmented with the principle of Midline longit...

a 4-day-old holstein bull calf with considerable oedema of the belly (water belly) was referred to theveterinary teaching hospital of the school of veterinary medicine, shiraz university. the owner did notobserve any urination since birth. rupture of the urethra was suspected. perineal urethrotomy was performed. subsequently, catheterization of urethra revealed the obstruction near the external...

OBJECTIVES To evaluate the effectiveness of urethral mobilisation for correcting moderate and severe penile torsion associated with distal hypospadias. PATIENTS AND METHODS Nineteen patients with distal hypospadias and congenital moderate and severe penile torsion were treated surgically. The hypospadias was at the distal shaft, coronal and glanular in seven, eight and four patients, respecti...