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 Bush realized the anxiety some boys and teens develop from having a single testicle, and pioneered this modification of the standard operation so that affected teens and young adults would awaken from surgery with a normal cosmetic appearance. Dr Bush and Dr Snodgrass advocate placing a testicular prosthesis at the same time that a testis… 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.
In this roundtable, Dr Snodgrass discusses treatment of children with the most severe forms of hypospadias. He reviews straightening their chordee (penile curvature) and then using TIP or STAG (graft) repair. He also reviews the age for hypospadias surgery and testosterone use before repair. Read publication here.
