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Hypospadiology pp 79–100Cite as

Management of Distal and Mid-Penile Hypospadias

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Abstract

Hypospadias is the most common congenital anomalies of the male external genitalia. Management depends upon penile length, location and size of the external urethral meatus, hooded prepuce, quality of glans and urethral plate, the severity of ventral curvature or glans tilt, quality of skin proximal to the meatus, degree of associated spongiosal hypoplasia, penile deviation (rotation), and scrotal transposition. The surgery principle is almost similar for all cases regardless of the technique chosen. These are orthoplasty, urethroplasty including glanuloplasty and meatoplasty, vascularized coverage over neo-urethra and circumcision or prepucioplasty. Various surgical techniques have been described for mid and distal hypospadias. The success depends on the appropriate preoperative assessment of the degree of chordee, quality of the urethral plate, location of the meatus and selection of proper surgical technique with surgeon experience.

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Authors and Affiliations

  1. Department of Urology, IMS, BHU, Varanasi, Uttar Pradesh, India

    Ujwal Kumar

  2. Maa Rajwati Hospital Pvt Ltd, Varanasi, Uttar Pradesh, India

    Vikash Singh

  3. Bhat’s Hypospadias and Reconstructive Urology Hospital and Research Centre, Jaipur, Rajasthan, India

    Amilal Bhat

  4. Department of Urology, Jaipur National University Institute for Medical Sciences and Research Centre, Jaipur, Rajasthan, India

    Amilal Bhat

  5. Department of Urology, Dr. S.N. Medical College, Jodhpur, Rajasthan, India

    Amilal Bhat

  6. Department of Urology, S.P. Medical College, Bikaner, Rajasthan, India

    Amilal Bhat

  7. P.G. Committee Medical Council of India, New Delhi, India

    Amilal Bhat

  8. Academic and Research Council of RUHS, Jaipur, Rajasthan, India

    Amilal Bhat

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  1. Ujwal Kumar
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  2. Vikash Singh
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Editors and Affiliations

  1. Bhat’s Hypospadias and Reconstructive Urology Hospital and Research Centre, Jaipur, Rajasthan, India

    Amilal Bhat

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Kumar, U., Singh, V., Bhat, A. (2022). Management of Distal and Mid-Penile Hypospadias. In: Bhat, A. (eds) Hypospadiology . Springer, Singapore. https://doi.org/10.1007/978-981-16-8395-4_7

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  • DOI: https://doi.org/10.1007/978-981-16-8395-4_7

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