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Hypospadias repair: the two‐stage alternative
Author(s) -
BRACKA A.
Publication year - 1995
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1995.tb07819.x
Subject(s) - hypospadias , cripple , stage (stratigraphy) , medicine , surgery , computer science , geology , paleontology , nursing
Summary One‐stage repairs for hypospadias are attractive in concept and are currently in vogue, but many surgeons remain unhappy with their inherent limitations and drawbacks. Two‐stage repair, reconstructing the new urethra with a full‐thickness skin graft, offers a realistic alternative and the method described here can be applied to almost any degree of deformity, be it a simple primary case or salvage of a multi‐operated and skin‐deficient hypospadias ‘cripple’. From a personal series of over 600 cases the author concludes that a two‐stage operation is an acceptable price to pay for a repair that offers unique versatility, excellent reliability and a sophistication of function and aesthetics thatis hard to achieve with one‐stage methods.