Patient's question:
Anterior urethral hypospadias under the glansDoctor's answer:
The plastic surgery for hypospadias has a history of over 100 years, and there are more than 200 surgical methods. Each method has its own advantages and disadvantages. The surgical methods can be mainly divided into two categories: one-stage reconstruction and two-stage reconstruction. One-stage reconstruction involves correcting the penile curvature deformity and reconstructing the urethra in a single surgery. Two-stage surgery involves first correcting the penile curvature deformity and preparing the transfer of foreskin skin, followed by urethral reconstruction after 6 to 12 months. The choice of surgical method should be flexibly determined based on the type of hypospadias, the patient's specific condition, the surgeon's experience and habits. Generally, penile-type hypospadias can be treated with one-stage surgery, while scrotal-type and perineal-type hypospadias may require either one-stage or two-stage surgery depending on the situation. Regarding the age for surgery, opinions are not unified, but most scholars believe that all treatment should be completed before the age of school entry.