Hypospadias Masterclass Session 5: Distal Hypospadias Skin Management

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Dr. Bush and Dr. Snodgrass of the Hypospadias Specialty Center round out the Hypospadias Masterclass Series on Distal Hypospadias talking about an often neglected but very important subject: penile skin. The management of skin during distal hypospadias repair plays a big role both in the functional and the aesthetic outcomes. They discuss skin management in patients with MIP as well as those with a hooded foreskin. The reconstruction of short skin due to chordee, penile torsion, and penoscrotal webbing is described. They introduce the concept of "Pex and Let Stretch" to describe a fixation stitch at the penoscrotal junction during surgery. This allows the penis skin to stretch postoperatively to achieve a normal length and appearance. This is an important technical step in proximal hypospadias and reoperative hypospadias repair as well.
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Management
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