Spongioplasty in Hypospadias repair

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Correction of hypospadias with the use corpus spongiosum

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Spongioplasty in Hypospadias repair

  1. 1. The value of thecorpous spongiosumin hypospadias repairSameh ShehataAlexandriaEgypt
  2. 2. Contents1 Corpous spongiosum2 Hypoplastic urethra.3 Chordee correction.4 Best second layer. Seoul 2012
  3. 3. METHODS Degloving in all. Thin ventral /Deep dorsal. Identify Corpous spongiosum bifurcation Continuity between C.S. And glans tissue . 2nd layer covering Corpous spongiosum. Seoul 2012
  4. 4. Seoul 2012
  5. 5. METHODS Degloving in all. Thin ventral /Deep dorsal. Identify Corpous spongiosum bifurcation Continuity between C.S. And glans tissue . 2nd layer covering Corpous spongiosum. Seoul 2012
  6. 6. Thin on ventralSeoul 2012
  7. 7. METHODS Degloving in all. Thin ventral /Deep dorsal. Identify Corpous spongiosum. Continuity between C.S. And glans tissue . 2nd layer covering Corpous spongiosum. Seoul 2012
  8. 8. Seoul 2012
  9. 9. Seoul 2012
  10. 10. Seoul 2012
  11. 11. Seoul 2012
  12. 12. Don’t!! Seoul 2012
  13. 13. HYDRODISSECTION Seoul 2012
  14. 14. Seoul 2012
  15. 15. METHODS Degloving in all. Thin ventral /Deep dorsal. Identify Corpous spongiosum bifurcation Continuity between C.S. And Glans. 2nd layer covering Corpous spongiosum. Seoul 2012
  16. 16. Seoul 2012
  17. 17. Seoul 2012
  18. 18. NO CHORDEESeoul 2012
  19. 19. Seoul 2012
  20. 20. MILD CHORDEE Seoul 2012
  21. 21. Seoul 2012
  22. 22. SEVERE CHORDEE Seoul 2012
  23. 23. Seoul 2012
  24. 24. METHODS Degloving in all. Thin ventral /Deep dorsal. Identify Corpous spongiosum bifurcation Continuity between C.S. And glans tissue . Spongioplasty. Seoul 2012
  25. 25. Seoul 2012
  26. 26. Seoul 2012
  27. 27. Seoul 2012
  28. 28. W Spongiosum hy Natural . Thick , vascular. Fixed NOT floating . No bulk at the Glans. Seoul 2012
  29. 29. RESULTS 2008- 2011 152 cases of distal hypospadias. AGE: 9 months - 7 years (2.3 yrs). Coronal: 33 Distal : 84 Proximal: 35 Seoul 2012
  30. 30. Techniques MAGPI 37 TIP (Snodgrass) 98 Mathieu . 17 Dorsal Plication 5 Seoul 2012
  31. 31.  152 cases of hypospadias were operated upon .Age ranged between 1 and 6 years with a mean of 3.2 yrs. Seoul 2012
  32. 32.  The location of the meatus: Coronal: 33 Distal : 84 Proximal: 35 Seoul 2012
  33. 33.  Complications encountered: Fistula: 7% Stenosis 5.6% Repair disruption: 0% Meatal regression 3% Seoul 2012
  34. 34. Fistula in relation to 2nd layer Seoul 2012
  35. 35. Conclusion Corpous Spongiosum is always there , only if you look for it!! Seoul 2012
  36. 36. CONCLUSION Level of bifurcation : Degree of Chordee Seoul 2012
  37. 37. Hypoplsastic urethra Can be preserved! Seoul 2012
  38. 38. Conclusion Degloving in all even apparently minor Seoul 2012
  39. 39. Conclusion Best 2nd layer Corpous spongiosum Seoul 2012
  40. 40. To be preserved ! Urethral plate . Corpous spongiosum. Seoul 2012
  41. 41. Thank you Seoul 2012

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