Skip to content. Hypospadias is a congenital present at birth condition in which the penile urethra does not close properly during its development. Children born with hypospadias have a urethra that does not extend up to the end of the head of the penis. Instead, the urethra ends short and on the penile shaft.
The Cleveland Clinic experience with adult hypospadias patients undergoing repair: their presentation and a new classification system. OBJECTIVE: To characterize and categorize adults with hypospadias who presented to our clinic with urethral stricture and fistula to better clarify the presentation, history and intraoperative findings in this heterogeneous group and to better describe the natural history of this anomaly in adulthood. All procedures were performed by a single staff surgeon K. The charts were reviewed for site of hypospadias, presenting complaint, overall symptoms, history of repair and type of surgery performed.
Hypospadias is a challenging field of urogenital reconstructive surgery with different techniques being currently used. Modern surgery claims that it is possible to create a functionally and cosmetically normal penis. Continuous re-evaluation and assessment of outcome may have a major impact on future clinical practice. Assessment of outcome includes: complication rate, cosmetic appearance of the penis, functional outcome micturition, sexuality , and psychological factors such as quality of life and psychosexual life. This article briefly reviews current strategies of outcome assessment.