Fahmy et al reported an algorithm for selecting the optimal urethral coverage for a patient with hypospadias. The authors are form Eberhard-Karls University, Universiti Putra Malaysia and Urology and Nephrology Centre of Mansoura, Egypt.
Patient: male with hypospadias or post-repair fistula
Parameters:
(1) testicular pathology or fistula/failure
(2) location of hypospadias
(3) circumcision status
Testicular Pathology or Fistula/Failure
Location of Hypospadias
Circumcision Status
Optimal Urethral Coverage
present
NA
NA
tunica vaginalis
absent
proximal
NA
tunica vaginalis
absent
mid-shaft
circumcised
tunica vaginalis
absent
mid-shaft
uncircumcised
Dartos fascia
absent
distal
NA
Dartos fascia
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