Dr. Snodgrass and Dr. Bush do not ever recommend dilations after hypospadias repair. They are typically not necessary and can cause distress to both patients and their families. Early after surgery, post-operative swelling can cause a fine, thin stream. This will usually improve with time as the internal swelling resolves. True stenosis/scarring internally is rare… Read More »
Technical factors, like how deep to incise the urethral plate, are very important in hypospadias repair. Read publication here.
Dr. Snodgrass used tissue samples during surgery to help better define anatomy in hypospadias repair. Read publication here.
Suture tracks can be created when surgeons place sutures THROUGH the skin instead of UNDER the skin. We recommend that hypospadiologists always take the time to place sutures below the skin to avoid these tracks. Read publication here.
TIP repair for proximal hypospadias can result in strictures (blockages) of the urine channel when used in patients with penile curvature. This experience led us to stop TIP repairs when more than 30 degrees of curvature is present. Now we perform STAG repairs instead, which result in urine channel blockages less than 1% of the… Read More »
