Treatment of hypospadias by a modified Cloutier two-stage repair.
After a tentative beginning, the two-stage hypospadias repair described by Cloutier was progressively modified and in our hands proved applicable to a wide range of hypospadias. Results improved with experience. The modified procedure has a low complication rate and has given a normal appearing circumcised penis with a spiral urinary stream through a vertically oriented glandular meatus (Fig 5), and erections are normal. Because of the long-term importance to the patient, the normal appearance is emphasized.
D001458:Bandages; D002648:Child; D002675:Child, Preschool; D002944:Circumcision, Male / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D008722:Methods; D010413:Penis / Q000601:surgery; D016038:Skin Transplantation; D013524:Surgical Flaps; D013536:Suture Techniques; D014521:Urethra / Q000601:surgery*