Hypospadias
is defined by the three major anatomic defects:
(1)
the abnormal location of the urethral meatus,
(2) penile curvature,
and
(3) abnormalities of the foreskin.
The
objective in treating patients with hypospadias is to
reconstruct
a straight penis for normal coitus and place
the
new urethral meatus on the terminal aspect of the glans
to
allow a forward directed stream.
There are five basic steps
for a successful hypospadias outcome:
(1) orthoplasty (straightening),
(2) urethroplasty,
(3) meatoplasty and glanuloplasty,
(4)
scrotoplasty, and
(5) skin coverage.
These various elements
of surgical technique can be applied either sequentially
or in various combinations to
achieve a surgical success.
