It is not clear how long patients with hypospadias should be followed after surgery to watch for complications, because most articles discussing these problems have not said when they were found. Dr. Snodgrass and Dr. Bush reviewed their database and found 80% of complications were diagnosed within 1 year. For example, glans dehiscence was usually… Read More »
Most boys born with hypospadias have an incompletely formed foreskin on the top of the penis but missing underneath. The appearance of the foreskin is what alerts health care providers in the newborn nursery that a boy may have hypospadias. One reason for hypospadias repair is to either remove the partial foreskin to achieve circumcision,… Read More »
It is commonly believed that there are more complications when hypospadias repair is done in older boys compared to infants. This could be important since in many countries it is not possible for various reasons to do hypospadias repair as early as it is done in the United States. In this study, Dr. Bush and… Read More »
Dr. Snodgrass and Dr. Bush have been searching for the best operation to repair severe hypospadias in boys with chordee (penile curvature). For a time they did TIP repair after extensive dissection of the urethral plate. Most of these operations were a success, but a few patients developed strictures needing reoperation using grafts from the… Read More »
TIP repair for proximal hypospadias is now rarely performed. Although it can repair hypospadias in a single surgery, high rates of problems such as recurrent curvature and strictures can occur. There are higher success rates when 2-stage graft (STAG) repairs are used in patients with hypospadias and penile curvature. Read publication here.