Editorial Comment

Abstract

Hypospadias repair, along with the management of vesicoureteral reflux, are arguably the 2 leading problems that helped to define modern pediatric urology. John Duckett coined the term “hypospadiology” to encourage those who performed hypospadias repair to view the complex topic as one deserving of serious dedicated study. 1 Duckett J.W. Hypospadias. in: Walsh P.C. Retik A.B. Vaughan E.D. Campbell's Urology. 7th ed. WB Saunders, Philadelphia1998 Google Scholar For many urologists, it meant the development of new procedures such as the meatal advancement and glanduloplasty, transverse island flap, or tubularized incised plate (TIP or Snodgrass). However, it should also encompass an understanding of how these methods have been adapted and their limitations. Surgical solutions are not fixed but reflect the level of medical knowledge of their era. Improvements in the understanding of the underlying problem, anatomy, technique, and materials have led to advances in nearly all types of operations. Fashion also is a factor; some operations become quite in vogue for a number of years and then fade away as a new style emerges or if a major advancement in knowledge makes them obsolete. Surgical Outcome of Different Types of Primary Hypospadias Repair During Three Decades in a Single CenterUrologyVol. 79Issue 6PreviewTo evaluate the surgical outcome of different techniques of primary hypospadias repair in a single department. Full-Text PDF ReplyUrologyVol. 79Issue 6PreviewWe would like to thank the reviewer for the valuable comments. We do agree that the surgical techniques in the “hypospadiology” field have undergone a major evolution. Our report reflects this evolution. During the past 3 decades, many techniques were applied in our patients, along with the changes in the hypospadias surgery around the world. However, the surgical outcome is still not optimal. Even in the distal shaft hypospadias repair, the complications ratio can reach 30% and can be greater in the proximal localization of the hypospadias meatus. Full-Text PDF