Hypospadias repair in children: fundamental principles and latest tendencies

The article contains the analysis of publications devoted to various aspects of hypospadias treatment in children. Parallels between classical works and current trends in the treatment for this genital  malformation are drawn. New surgical techniques with a reference to the history of their emergenc...

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Bibliographic Details
Main Authors: R. V. Surov, I. M. Kagantsov
Format: Article
Language:Russian
Published: ABV-press 2018-01-01
Series:Андрология и генитальная хирургия
Subjects:
Online Access:https://agx.abvpress.ru/jour/article/view/258
Description
Summary:The article contains the analysis of publications devoted to various aspects of hypospadias treatment in children. Parallels between classical works and current trends in the treatment for this genital  malformation are drawn. New surgical techniques with a reference to the history of their emergence and development are described. The  authors discuss the use of single-stage and multi-stage surgical  procedures for proximal hypospadias. The article also provides the  analysis of currently available literature data on the complications  associated with the use particular surgical techniques. Furthermore,  the article covers the following issues: new variants of hypospadias  classification, methods for assessing defect severity prior to surgery,  and variants of cosmetic evaluation after surgical treatment.  Particular attention is paid to standardization of approaches to  surgical treatment of hypospadias, unification of methods used in  urethroplasty and penile curvature correction. The data of clinical  trials assessing various operative techniques are provided. A  suggestion regarding standardization of description methods for  clinical trials in the field of hypospadology is made.
ISSN:2070-9781