Adult Hypospadias Outcomes for the Pediatric Urologist.

IF 2.5 2区医学 Q2 UROLOGY & NEPHROLOGY Current Urology Reports Pub Date : 2024-04-01 Epub Date: 2024-02-06 DOI:10.1007/s11934-024-01196-7

Tyler Gaines, Jay Simhan

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Abstract

Purpose of review: This review article will examine the current literature on hypospadias-related complications in adult patients.

Recent findings: In this article, we will review the most recent studies evaluating hypospadias-related stricture disease, erectile function, fertility, and psychosexual outcomes in adult men with history of hypospadias repair in childhood. Managing hypospadias-related complications in adult patients is challenging to reconstructive urologists due to the compounded complexity of innate tissue deficiency and history of prior surgical repairs. In this review, we explore overall functional outcomes of adults with history of hypospadias repair as well as repair strategies of hypospadias-related urethral stricture disease. We will review erectile function, fertility and psychosexual outcomes as well as potential complications, which often do not surface until late adolescence and adulthood. Although it is challenging to characterize and quantify hypospadias-related complications, further longitudinal study is needed to better care for this complex patient population.

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成人尿道下裂对小儿泌尿科医生的影响。

综述目的：这篇综述文章将研究目前关于成年患者尿道下裂相关并发症的文献：在这篇文章中，我们将回顾最新的研究，这些研究评估了有尿道下裂修复史的成年男性尿道下裂相关狭窄疾病、勃起功能、生育能力和性心理结果。由于先天性组织缺失和既往手术修复史的复杂性，治疗成年尿道下裂相关并发症对泌尿外科整形医生来说极具挑战性。在本综述中，我们将探讨有尿道下裂修复史的成人患者的总体功能结果，以及尿道下裂相关尿道狭窄疾病的修复策略。我们将回顾勃起功能、生育和性心理结果以及潜在的并发症，这些并发症通常要到青春期后期和成年期才会出现。尽管对尿道下裂相关并发症进行定性和量化具有挑战性，但我们仍需要进一步开展纵向研究，以便更好地照顾这一复杂的患者群体。

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来源期刊

Current Urology Reports UROLOGY & NEPHROLOGY-

CiteScore

4.60

自引率

3.80%

发文量

期刊介绍： This journal intends to review the most important, recently published findings in the field of urology. By providing clear, insightful, balanced contributions by international experts, the journal elucidates current and emerging approaches to the care and prevention of urologic diseases and conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as benign prostatic hyperplasia, erectile dysfunction, female urology, and kidney disease. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.