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Bücher für Medizin, Wissenschaft und Studium

Operative Urologie

Acknowledging the fact that hypospadiology has become a true subspecialty, this unique book highlights and explores current philosophy and different principles and techniques of hypospadias repair. It offers an excellent practical guide to all surgeons involved in the management of this common, but troublesome disease. The aim is to help interested surgeons to develop vision, philosophy and talent rather than just enumerate techniques.

Part A General: Evolution of Hypospadias Surgery, Historial Perspective.- Men behind Principles and Principles Behind Techniques.- Epidemiology of Hypospadias.- Genetics of Hypospadias.- Embryology and Anatomy of Hypospadias.- Blood Supply of Penis and Penile Skin.- Classification of Hypospadias.- General Principles.- Examination, Investigation, Consent, Intersex, Preoperative Preparation, Hormonal Stimulation and Artificial Erection Test.- Assessment of the Results of Hypospadias Repair.- Principles of Plastic Surgery.- Principles of Hypospadias Surgery.- Analgesia and Pain Control.- Part B Operative: Chordee.- Meatal Advancement and Glanduloplasty and its Modification.- Inverted Y - Plasty for Glandular Hypospadias.- Urethral Advancement, Glanuloplasty and Preputoplasty in Distal Hypospadias.- Thiersch Dupley Principle.- Mega Meatus Intact Prepuce Variant.- Meatal Based Flap 'Mathieu' Technique and Related Modifications.- Y-V Glanuloplasty Modified 'Mathieu' Technique.- Tabularised Incised Plate Urethroplasty.- Tabularised Preputial Island Flap.- Onlay Preputial Island Flap.- Asopa Technique and its Modifications.- Koyanagi-Nonomura One Stage Repair for Severe Perineal Hypospadias.- Yoke Hypospadias Repair.- Lateral Based Flap Proximal Hypospadias.- Laterial Based Flap for Proximal Hypospadias.- Circumcision.- Prepuce Reconstruction.- Grafts for One Stage Repair.- Two Stage Procedure.- Protective Intermediate Layer.- Procedures to Improve the Appearance of Meatus and Glans with Various Repairs.- Correction of Associated Malformations.- Buried Penis.- Controversies.- Assessment of the Results of Hypospadias Repair.- Part C Complications and Late Sequelae: Early Complications.- Hypospadias Fistula.- Cecil-Culp Techniques and its Modifications.- Modified Cecil-Culp Technique for Repair of Uhethra-cutaneous Fistula.- Meatal Stenosis and Urethral Stricture.- Urethral Diverticulae and Acquired Megalo Urethra.- Management of Failed Hypospadias Surgery.- Long Term Consequences of Hypospadias Repair.- Psychological Problems and Adjustment.- Uncommon Conditions and Complications.- Editorial Overview of the Current Management of Hypospadias.- Potential Future Technqiues and Research.- Index.

It is well illustrated with ample colour diagrams and photographs of various operations together with many technical tips. All surgeons in training will benefit by reading this book in preparing for their higher examinations and their surgical training. There is a wide diversity of opinions, and a large number of operations have been described. Here, the team of world class authors present an expert overview on the management of this condition.