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HIPOSPADIA
HIPOSPADIA
HIPOSPADIA
1. Hipospadi anterior:
Glanular,sub koronal,penis
anterior ( 70%)
2. Hipospadi medius:
Mid shaft penis ( 10% )
3.Hipospadi posterior ( 20%)
Penoskrotal,skrotal dan perineal.
PENATALAKSANAAN
Sebelum di rekonstruksi
jangan disirkumsisi dulu!!!.
Operasi umur 1,5 5 th.
Khordektomi dan tunneling.
Rekonstruksi urethra ( urethroplasty )
Dapat dilakukan satu atau dua tahap.
- Meato glannuloplasty (MAGPI ) repair
- Perimeatal based flap repair ( Mathiew)
- Perimeatal based tube repair ( Mustarde )
- Tranverse Island Flap ( Duckett)
- Tubuler Incision Plate ( Snodgrass)
Post op tahap 1
Post op tahap 2