L'hypospadias à réopérer

Reoperating an hypospadias requires a reconstructive strategy that considers the patient's disturbing symptoms, located on the urethra (stenosis, fistula, persistent hypospadias, urethral hair) as well as on cavernous bodies and penile skin. Though experience validates it, this global and gradual approach has been barely described. It takes up latest hypospadiology work through several steps: after urethroscopy, penis is freed from penile skin in order to treat first a potential residual curvature in four steps. Then, the urethral issue is fixed differently according to the state of the penile urethra. In addition, a buccal mucosal urethroplasty will be likely to be occurred, in one or two times.