Grassi Lakes, Canmore
Hypospadias
Everything on Hypospadias in one place — guides for parents, the clinician series and evidence notes.
Grassi Lakes, Canmore
Everything on Hypospadias in one place — guides for parents, the clinician series and evidence notes.
Not only the position of the opening. Why the bend matters most, and what to ask before surgery.
Timing and anaesthesia, looking after the catheter, dressing and nappies, when to call the hospital, and fistula, stricture and redo surgery — what parents want to know before surgery, explained as in clinic.
Severity is not decided by where the opening lies — what is actually assessed, and why it is settled during surgery.
Was it something I did — when the urinary channel is built, what is known about endocrine disruptors and heredity, and what it means for a next child.
Written for healthcare professionals; a one-time confirmation appears on first visit.
Which of the three problems persists into adulthood — and what it means to decide it at the first operation.
Complication rate is not outcome — why patient, surgeon and parent scores diverge, and what the GMS score revealed.
Meatal position does not determine severity — the GMS score, its validation, and the finding that only curvature survived.
The double zipper — canalization, then androgen-dependent fusion — why the glans differs, and why a dorsal hood comes with 95% of cases.
A nineteen-fold spread between registries and what drives it, and the weight of evidence behind each proposed cause.
Reading curvature as structure rather than angle — four contributing factors, explanations that ran in parallel rather than replacing one another, and the dysplastic ventral tissue that does not divide into layers.
Where 30° is actually used, artificial erection repeated after every step, the path from plate preservation to transection, and how the threshold for transection changed over the last decade.
The current EAU/ESPU chapter carries only five recommendations, and the one rated Weak is the 30-degree threshold. Timing, testosterone, stents and antibiotics get none at all.
Only one recommendation covers technique: use the algorithm. Plate-preserving TIP, 5% versus 25% for curvature, 42% versus 21% proximally, and no definitive guidance for redo repair.
From ectodermal ingrowth (1954) to the double zipper (2015) and the direct canalization of the glans (2018) — what each of five papers changed, and what each could not show.