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The finding that the glans is a significant variable in hypospadias complications and an evaluation of external pelvic fixation alone without osteotomy at time of newborn bladder exstrophy closure were among the noteworthy studies in pediatric urology at AUA 2017.
Audrey C. Rhee, MD
The finding that the glans is a significant variable in hypospadias complications and an evaluation of external pelvic fixation alone without osteotomy at time of newborn bladder exstrophy closure were among the noteworthy studies in pediatric urology at the AUA annual meeting in Boston. The take-homes were presented by Audrey C. Rhee, MD, of Cleveland Clinic, Cleveland.
Caudal block during penile procedures is more efficacious for the early postoperative period but at increased cost and time compared to the penile block.
Defects in the KCTD13 gene can result in hypospadias, cryptorchidism, and other lower urinary tract aberrant development. With loss of expression, mice were more likely to have cryptorchidism, smaller testes, and smaller baculum with decreased sperm count and motility.
Less than half of undervirilized males receive a molecular diagnosis. Next-generation sequencing can result in a higher rate of molecular diagnosis than more traditional genetic testing.
Upon review of 536 consecutive tubularized incised plate repairs for hypospadias, the combination of glans groove graded as deep moderate or shallow absent and the urethral plate graded as robust or poor spongiosum was the main risk factor for complications.
A study demonstrated effective primary proximal hypospadias repair with the use of buccal mucosa as a graft for urethroplasty. The complication rate was similar to that of other studies using prepuce, suggesting this may be a preferable option over prepuce for the most severe cases of proximal hypospadias.
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