Abstract
The article contains the analysis of publications devoted to various aspects of hypospadias treatment in children. Parallels between classical works and current trends in the treatment for this genital malformation are drawn. New surgical techniques with a reference to the history of their emergence and development are described. The authors discuss the use of single-stage and multi-stage surgical procedures for proximal hypospadias. The article also provides the analysis of currently available literature data on the complications associated with the use particular surgical techniques. Furthermore, the article covers the following issues: new variants of hypospadias classification, methods for assessing defect severity prior to surgery, and variants of cosmetic evaluation after surgical treatment. Particular attention is paid to standardization of approaches to surgical treatment of hypospadias, unification of methods used in urethroplasty and penile curvature correction. The data of clinical trials assessing various operative techniques are provided. A suggestion regarding standardization of description methods for clinical trials in the field of hypospadology is made.
Highlights
АНДРОЛОГИЯ ANDROLOGYХирургическое лечение гипоспадии у детей: фундаментальные основы и новейшие тенденции
Как стандартизация подходов к хирургическому лечению гипоспадии, унификация методов уретропластики и коррекции искривления полового члена
Kagantsov2, 3 1Department of Urology, Children’s Regional Clinical Hospital; 21 Voroshilova St., Kemerovo 650056, Russia; 2Department of Urology, Republican Children’s Clinical Hospital, Ministry of Health of the Republic of Komi; 116/6 Pushkina St., Syktyvkar, Republic of Komi 167004, Russia; 3Pitirim Sorokin Syktyvkar State University, Ministry of Education and Science of Russia; 55 Oktyabrskiy Prospekt, Syktyvkar, Republic of Komi 167001, Russia The article contains the analysis of publications devoted to various aspects of hypospadias treatment in children
Summary
Хирургическое лечение гипоспадии у детей: фундаментальные основы и новейшие тенденции. Ворошилова, 21; 2отделение урологии ГУ «Республиканская детская клиническая больница» Минздрава Республики Коми; Россия, Республика. В статье содержится анализ литературы, посвященной вопросам лечения гипоспадии у детей. Описываются новые варианты классификации гипоспадии, методы оценки тяжести порока до операции, варианты в косметической оценке после операции. Как стандартизация подходов к хирургическому лечению гипоспадии, унификация методов уретропластики и коррекции искривления полового члена. The article provides the analysis of currently available literature data on the complications associated with the use particular surgical techniques. The article covers the following issues: new variants of hypospadias classification, methods for assessing defect severity prior to surgery, and variants of cosmetic evaluation after surgical treatment. Particular attention is paid to standardization of approaches to surgical treatment of hypospadias, unification of methods used in urethroplasty and penile curvature correction.
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