Dr. Bush reviews the stories of Nobel Prize-winning urologists. Their unique discoveries are reported in this historical article. Some of their discoveries will surprise you! One urologist is responsible for cardiac catheterization. Cardiac catheterization is common now. But the idea was revolutionary at the time. He couldn’t convince his colleagues it was possible until he… Read More »
While many colleagues believed circumcision was the solution to tight foreskin, Dr. Snodgrass used steroid therapy to show that is was effective in releasing foreskin attachments. This avoided circumcision in many boys. Today, we use this same steroid cream to help stretch and soften penile skin after surgery in patients with compromised penile skin. Read… Read More »
The technical steps of TIP (tubularized incised plate) distal hypospadias repair have not changed in more than a quarter century. There are key steps that must be performed correctly. Surgeons who experience problems with TIP are commonly making a technical error during the surgery. Read publication here.
Although Dr. Snodgrass was taught to repair hypospadias using flap techniques, he abandoned these flap repairs many years ago due to high complication rates. Unfortunately, many surgeons still perform flap hypospadias repairs throughout the United States and the world today. Flap repairs involve moving penile skin to create the urine channel while it is still… Read More »
Before we started using an instrument, called a goniometer, to measure curvature, we performed TIP repair in many boys with proximal hypospadias. We now know that curvature is very common in proximal hypospadias, and that TIP repair should NOT be used when there is curvature more than 30 degrees as measured by the goniometer during… Read More »
