Urology Research & Practice
PEDIATRIC UROLOGY - Review

Advancements in Hypospadias Management: Trends, Techniques, Training, and Patient-Centric Outcomes

1.

Department of Urology, University of Wisconsin-Madison, School of Medicine and Public Health, Madison, WI, USA

2.

Department of Pediatric Urology, Seattle Children’s Hospital, Seattle, WA, USA

3.

Department of Pediatric Urology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA

4.

Division of Pediatric Urology, Mattel Children’s Hospital, University of California Los Angeles, Los Angeles, CA, USA

5.

Division of Pediatric Urology, Women and Children's Hospital, University of Wisconsin School of Medicine and Public Health, Wisconsin, USA

6.

Division of Pediatric Urology, Beacon Hospital, University College Dublin, Dublin, Ireland

Urol Res Pract 2024; 50: 94-101
DOI: 10.5152/tud.2024.23219
Read: 147 Downloads: 131 Published: 31 March 2024

Abstract: Hypospadias has drawn increasing attention due to its prevalence, complex etiology, and significant impacts on psychological and sexual quality of life. This comprehensive review delves into the facets of hypospadias management, exploring pivotal themes that shape present understanding and practice. We demonstrate potential explanatory factors for its incidence through an analysis of geographic, genetic, and environmental influences. We then contextualize care by exploring historical and evolving surgical techniques, and highlight that advances in surgical approaches employ a spectrum of repair strategies. Innovation in surgical training, with a focus on simulation-based methodologies, offers a bridge between didactic learning and real-world application, which is particularly relevant due to the demonstrated effect of personal experience with hypospadias repair outcomes. Considering the importance of mentorship, case exposure, and hands-on practice, a holistic understanding of expertise cultivation at each training stage is essential. Lastly, patient-centric outcomes research must take center stage, particularly as the impact of our interventions on children with hypospadias will be judged by them as adults. Shifting from solely surgeon-reported outcomes to patient-reported outcomes is emphasized in the review, allowing for a more comprehensive assessment of the influence of surgical interventions across the lifespan. Integrating patients' perspectives refines surgical decision-making to align with expectations, ultimately enhancing overall satisfaction. Our multi-pronged exploration of advancements in hypospadias underscores the symbiotic relationship between evolving surgical techniques, training methodologies, personal experience, and patientreported outcomes. As the field progresses, these insights will collectively contribute to optimizing hypospadias care, advancing both medical practice and patient well-being.

Cite this article as: Bhatia V, Fernandez N, Long C, Sturm R, Farhat W, O’Kelly F. Advancements in hypospadias management: Trends, techniques, training, and patient-centric outcomes. Urol Res Pract. 2024;50(2):94-101.

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