Objective: Corpus spongiosum advancement technique has been used for repair of glanular, coronal and distal penile hypospadias without chordee. A brief description of the procedure and operative outcome has been described with discussion of relevant literature. Methods: Out of 112 patients aged 12 to 126 months, operated between July 2009 and December 2013, 54 had coronal, 38 had glanular and 2...

Diphallia is a rare urogenital defect and varies from small accessory penis or duplication of the glans to complete penile duplication. Its incidence 1 in 5.5 million live births. Only 100 cases were reported 1609 until 2021. A two-year-old boy with diphallia multiple congenital anomalies had an uncircumcised two urethral orifices, accompanied by scrotum bifidum, asymmetric right buttock, norma...

PURPOSE To retrospectively review our experience of the tubularized incised plate (TIP) urethroplasty in a series of re-operative hypospadias repairs or circumcised children. MATERIALS AND METHODS Between September 2001 and September 2007, 17 children (mean 4.6 years, range 7 months to 15 years), were referred for hypospadias re-operation. Some of these patients had previously undergone circu...

PURPOSE The purpose of this study was to examine whether urethroplasty with a turnover flap, as an alternative method of distal hypospadias repair in adolescents, improves the outcome of surgery. MATERIALS AND METHODS Between January 2004 and December 2013, a total of 38 adolescents (aged 11-17 years) underwent distal hypospadias repair with either the tubularized incised plate (TIP) procedur...

OBJECTIVES To compare first catch urine (FCU) and self-collected urinary meatal swabs for the detection of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) using the APTIMA Combo 2 assay. METHODS A total of 511 young men from a high risk street youth clinic were studied. Group A (n=293) collected a FCU and a meatal APTIMA swab followed by Group B (n=218) who collected a FCU and two m...

Hypospadias is a highly prevalent congenital anomaly. English articles, indexed in PubMed, published the long-term sexual and reproductive outcome following hypospadias repair. Almost all repairable cases of hypospadias are operated in childhood. Although distal hypospadias does not interfere with fertility, it is worthy reporting a case of an elderly man, who fathers 12 children and has no uro...

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...

My contribution to this discussion is concerned with obstructions in the anterior urethra: they are not very common, but because we are so often concerned with congenital obstructions of the posterior urethra and of the bladder neck there is a tendency to overlook anything between the external meatus and the external sphincter. I shall not comment on meatal stenosis which is well known to us al...