Venugopal P
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10 Mar 2023 08:34:24 AMWhat is Hypospadias?
Dear All,
Hypospadiology
is becoming a separate subspecialty within Urology (Amilal Bhat would say it
has already become) but it is equally taken up by Paediatric Surgeons and
Plastic Surgeons as well. The development of Glans, Urethra and Prepuce play a
major role in our understanding. A while ago the most perturbing question was
how Glans can develop adequately well when corpus spongiosum was defective in
its development. This confusion existed because Anatomically Glans and Corpus Spongiosum
along with Urethra are integral part of each other. Hence it was confusing that
when Corpus Spongiosum along with Urethra was defective, how then Glans can
develop more or less adequately. The main problem as I understand is not in the
development of Glans but it is the development of Glanular Urethra and the more
proximal urethra (I am subject to correction and I may be corrected).
I am
providing a very comprehensive article by Laurence Baskin on ‘What is
Hypospadias’. This is an article worth reading and understanding by all in the
group. He has in detail explained most aspects but not on the techniques for
correction of Hypospadias. But Understanding what Hypospadias is important in
planning the surgical options available.
https://journals.sagepub.com/doi/pdf/10.1177/0009922816684613
It
should be remembered that there are as many techniques at repair as Surgeons
who are performing such repairs.
With
warm regards,
Venu
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