Mid penile Hypospadiac Cripple Devendra's Anatomical repair

Disclaimer:This channel is intended as an Encyclopedia for Medical Practitioners. Videos on this channel contain surgical procedures that may be graphic in nature. Viewer discretion is advised. www.devendrahospital.com Devendra Hospital 55 Prabhat Nagar Bareilly, UP Phone: +91 9359103564; +91 8218282941 The author designed a simple "Anatomical repair" with consistently high success rate with the natural looking penis, meatus, glans & urethra. Hypospadias repair is done under general anaesthesia, most often supplemented by a nerve block to the penis or a caudal block to reduce the general anaesthesia needed, and to minimize discomfort after surgery. Many techniques have been used during the past 100 years to extend the urinary channel to the correct location. Today, the most common operation, known as the tubularized incised plate or “TIP” repair, rolls the urethral plate from the low meatus to the end of the glans. This procedure can be used for all distal hypospadias repairs, with complications afterwards expected in less than 10% of cases. Less consensus exists regarding proximal hypospadias repair.TIP repair can be used when the penis is straight or has mild downward curvature, with success in 85%.Alternatively, the urinary channel can be reconstructed using the foreskin, with reported success in from 55% to 75%. Most distal and many proximal hypospadias are corrected in a single operation. However, those with the most severe condition having a urinary opening in the scrotum and downward bending of the penis are often corrected in a two-stage operation. During the first operation the curvature is straightened. At the second, the urinary channel is completed. Notice: All photographs, videos, and information displayed in the channel is the property of Dr. Devendra K. Gupta. (c) reserved by Dr. Devendra K. Gupta