Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
13 Cards in this Set
- Front
- Back
|
What are 3 potential causes of hypospadias?
|
abnormal androgen production, varying degrees of androgen receptor sensitivity in pertinent tissues, environmental estrogens
|
|
|
What is the incidence of hypospadias?
|
1 in 300 live births
|
|
|
What is the common triad of hypospadias?
|
hypospadias, chordee and a dorsal hood
|
|
|
What is a chordee?
|
ventral curvature of the penis
|
|
|
What is a dorsal hood?
|
in the presence of hypospadias, the dorsal foreskin is termed the dorsal hood
|
|
|
What determines the type of hypospadias repair needed?
|
location of the meatus
|
|
|
List the 3 possible locations of the meatus in hypospadias and their incidences.
|
anterior hypospadias (50%): glanular, coronal and subcoronal; middle hypospadias (30%): distal penile, midshaft, and proximal penile; posterior hypospadias (20%): penoscrotal, scrotal and perineal
|
|
|
At what age is surgical repair best performed?
|
6 to 18 months of age
|
|
|
What are the 3 goals of hypospadias repair?
|
create a funcionally straight phallus, establish a functional urethra, provide a normal appearance
|
|
|
What is the most common complication of meatal advancement and glansplasty hypospadias repair?
|
meatal regression
|
|
|
What type of hypospadias repair is useful for midshaft variants?
|
Onlay island flap
|
|
|
In hypospadias repair, what defect should be corrected first - hypospadias or chordee?
|
Chordee
|
|
|
What are potential complications of hypospadias repair?
|
urethrocutaneous fistula and meatal stenosis
|
