Although most infants with hypospadias have a partial foreskin, some have the hypospadias hidden under a normal foreskin and so it is not found until circumcision is started, called Megameatus with Intact Prepuce Hypospadias. Previously it was recommended that circumcision be stopped when hypospadias was discovered so that the foreskin could be used in the… Read More »
Some patients have complications after hypospadias repair and need another operation. Dr. Warren Snodgrass and Dr. Nicol Bush report how to select the best repair in these circumstances, based on the health of the urethral plate. They used TIP (“Snodgrass”) repair, a form of TIP repair with a graft (“Snodgraft” technique) and an operation that… Read More »
By Warren Snodgrass MD and Nicol Corbin Bush MD, MCS In this article Snodgrass & Bush describe TIP for severe hypospadias, reporting a high rate of success. Therefore, TIP (the “Snodgrass” repair) can be used for both mild and many severe cases of hypospadias. TIP hypospadias repair is the most common surgery done for… Read More »
There is a common belief that teenagers and adults have more complications after hypospadias surgery. Dr. Snodgrass and Dr. Bush were the first to directly compare results after hypospadias repair in teens and adults to children, and in this article report that they were the same. For that reason, they recommend complete correction of hypospadias… Read More »
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 »
