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Hypospadias
1.
Hypospadias Dr.Anil Haripriya
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Classification
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Treatment Plan Prevention
of urethral plate , skin & dartos dissection Distal Proximal Glans configuration Meatal quality & location Urethral plate width Assess curvature Dorsal plication if necessary MAGPI GAP/Pyramid Tubularization Snodgrass Assess curvature Dorsal plication if necessary Rarely resect plate Onlay Two stage Bracka two-stage buccal graft
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“MAGPI”
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Onlay island flap
Indication-pt with narrow urethral plate,thin ventral skin, no chordee
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Transverse tubularized island
flap
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Bracka two-stage buccal
graft repair
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Different tissues used
for correction of hypospadias
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