Patients with distal hypospadias and a straight penis undergo TIP repair. This achieves a penis that both functions normally, and looks normal according to measurements in boys without hypospadias. Read publication here.
Articles
Tubularized incised plate hypospadias repair for distal hypospadias.
Straightening Ventral Curvature while Preserving the Urethral Plate in Proximal Hypospadias Repair.
Multiple studies have shown that straightening the penis while preserving the urethral plate can result in higher rates of complications such as recurrent curvature. Saving the urethral plate and correcting the curvature with plication sutures results in many patients with ongoing problems. About half of our PARC Hypospadias Center patients come with complications after surgery… Read More »
A Farewell to Chordee.
Use of the word “chordee” is confusing – both to parents and even to surgeons! Instead of the word chordee, we use the term curvature. There are 3 reasons the penis is curved – 1. short skin; 2. short urethra/urethral plate; 3. short ventral corpora (erectile cylinders on the underside of the penis). Read publication… Read More »
THE ‘LEARNING CURVE’ IN HYPOSPADIAS SURGERY
Dr. Snodgrass responds to an article stating there is a learning curve in hypospadias. He reminds the authors that the type of hypospadias repair is important, not just the type of sutures and how they were placed. He also reminds readers that both functional and aesthetic outcomes are very important when it comes to hypospadias… Read More »
Can a slit-like meatus be achieved with the V-incision sutured meatoplasty for onlay island flap hypospadias repair?
Dr. Snodgrass developed TIP repair when he was unhappy with the appearance of the urine channel using the techniques he had been taught. The urine channel should have a slit-like appearance at the tip of the penis. Read publication here.