Many people believe that TIP repair can only be used in select patients with distal hypospadias. This article shows TIP can be used in patients with distal hypospadias regardless of the size and characteristics of the head of the penis. However, it should not be used in patients with penile curvature that persists after release… Read More »
TIP (Snodgrass) repair can be used in patients with distal hypospadias who need reoperation as long as the penis is straight and tissues are healthy. It is most commonly used in patients who have glans dehiscence. This is where the head of the penis opens up after surgery – usually 2 weeks afterwards. Rates of… Read More »
As early as 2003, Dr. Snodgrass realized penile curvature (chordee) was the most important factor in hypospadias repair. Patients with less than 30 degrees curvature can have TIP repair. Those with more than 30 degrees of curvature after release of tethering skin tissues undergo STAG repair. Read publication here.
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 »
