Chapter 130 : Hypospadias

chapter-130-hypospadias

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Question 1 of 1

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Histologic studies of embryos suggest ventral penile curvature results from:

Select the correct answer(s).

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The underlying cause for hypospadias in most boys is:

Select the correct answer(s).

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A 6-month-old infant presents for evaluation of subcoronal hypospadias. During physical examination the left testis is palpated in the groin but cannot be manipulated into the scrotum. The next step is to:

Select the correct answer(s).

(0/0)

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During a proximal penile shaft hypospadias repair a catheter cannot be passed into the bladder. The most likely cause is:

Select the correct answer(s).

(0/0)

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A 6-month-old infant without other known medical problems is referred for scrotal hypospadias. He is also found to have ventral penile curvature, a deep scrotal cleft, and penoscrotal transposition, but both testes are in the scrotum. The next step is to:

Select the correct answer(s).

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Preoperative testosterone stimulation before hypospadias repair has been demonstrated to:

Select the correct answer(s).

(0/0)

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A patient with penoscrotal hypospadias has ventral curvature of nearly 90 degrees preoperatively. After the penis is degloved and dartos tissues released, artificial erection shows the curvature has diminished to less than 30 degrees. The best next step is to:

Select the correct answer(s).

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A 6-month-old infant is referred for hypospadias. On examination he is found to have a dorsally hooded prepuce, ventral penile curvature, a glanular meatus, and a normal scrotum. The parents should be informed that straightening the penile curvature most likely will require:

Select the correct answer(s).

(0/0)

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A 6-week-old infant is evaluated after neonatal circumcision. The primary care physician expresses concern for a “bad circ.” On examination the meatus is coronal and the glans wings are separated. There is no redundant shaft skin after the circumcision except in the ventral midline near the meatus. The family should be counseled that:

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The parents of a 6-month-old with subcoronal hypospadias request foreskin reconstruction rather than circumcision. The family should be told:

Select the correct answer(s).

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Each of the following is thought to reduce the likelihood for fistula development after hypospadias surgery EXCEPT:

Select the correct answer(s).

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A mother reports her 7-year-old son who had a penoscrotal tabularized incised plate (TIP) hypospadias repair took longer to void than a playmate during a sleepover. He does not strain to urinate and has had no urinary tract infections. Uroflowmetry shows a peak flow rate of 8 mL/sec with a plateau-shaped curve. The next step is to:

Select the correct answer(s).

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An 8-year old had distal hypospadias repair as an infant. Initially after surgery he was thought to have a normal urinary stream, although the parents only rarely observed urination since he used diapers. Over the past year the parents think his stream has slowed and notice he seems to have to “push” to empty his bladder. On examination there is a faint white discoloration around the meatus. Best management includes:

Select the correct answer(s).

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A 1-year-old boy had a subcoronal hypospadias repair 6 months previously. He has a 2-mm fistula at the site of the original meatus. The distance from the fistula to the neomeatus is approximately 3 mm, and the glans wings still appear approximated. The best treatment of the fistula is:

Select the correct answer(s).

(0/0)

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A 10-year-old presents with midshaft hypospadias persistent after seven operations on his penis. He appears to have ventral curvature greater than 30 degrees and has been circumcised. There is visible scarring between the meatus and the glans, and the scrotum is riding high on the penile shaft to near the meatus. The most appropriate next step is:

Chapter 130 : Hypospadias

Question 1 of 1

Time Left

Histologic studies of embryos suggest ventral penile curvature results from:

Select the correct answer(s).

(0/0)

The underlying cause for hypospadias in most boys is:

Select the correct answer(s).

(0/0)

A 6-month-old infant presents for evaluation of subcoronal hypospadias. During physical examination the left testis is palpated in the groin but cannot be manipulated into the scrotum. The next step is to:

Select the correct answer(s).

(0/0)

During a proximal penile shaft hypospadias repair a catheter cannot be passed into the bladder. The most likely cause is:

Select the correct answer(s).

(0/0)

A 6-month-old infant without other known medical problems is referred for scrotal hypospadias. He is also found to have ventral penile curvature, a deep scrotal cleft, and penoscrotal transposition, but both testes are in the scrotum. The next step is to:

Select the correct answer(s).

(0/0)

Preoperative testosterone stimulation before hypospadias repair has been demonstrated to:

Select the correct answer(s).

(0/0)

A patient with penoscrotal hypospadias has ventral curvature of nearly 90 degrees preoperatively. After the penis is degloved and dartos tissues released, artificial erection shows the curvature has diminished to less than 30 degrees. The best next step is to:

Select the correct answer(s).

(0/0)

A 6-month-old infant is referred for hypospadias. On examination he is found to have a dorsally hooded prepuce, ventral penile curvature, a glanular meatus, and a normal scrotum. The parents should be informed that straightening the penile curvature most likely will require:

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

The parents of a 6-month-old with subcoronal hypospadias request foreskin reconstruction rather than circumcision. The family should be told:

Select the correct answer(s).

(0/0)

Each of the following is thought to reduce the likelihood for fistula development after hypospadias surgery EXCEPT:

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

A 1-year-old boy had a subcoronal hypospadias repair 6 months previously. He has a 2-mm fistula at the site of the original meatus. The distance from the fistula to the neomeatus is approximately 3 mm, and the glans wings still appear approximated. The best treatment of the fistula is:

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

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