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.
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.
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 »
