2019
DOI: 10.1016/j.eururo.2019.03.019
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Lifelong Congenital Urology: The Challenges for Patients and Surgeons

Abstract: We thank the reviewers and the Journal for their support with this manuscript. We recognize the complex nature of this subject and are eager to get our submission right. Your input is greatly valued.Reviewer #2: I think the paper is improved and more logical in its flow in the current version. Thank you.However, it does not contain very much concrete information/advice and as such I believe it should be shortened. I suggested this in the previous review as well but the new version is longer than before.Further… Show more

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Cited by 41 publications
(21 citation statements)
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“…23 Many patients who have had hypospadias surgery do not need follow-up, therefore, we do not know the precise complication rate, but there are now data to suggest that with prolonged follow-up, beyond puberty, complication rates such as fistulae and strictures may be up to 25%. 24,25 For those patients who are found to have an unoperated hypospadias in adolescence or adulthood, these need careful examination and counselling about the value (or not) of surgery, and those with a distal (mild) hypospadias may not need surgery at all. Patients who have had prior surgery that develop problems later in life need referral to a specialist centre for evaluation and treatment.…”
Section: Penile Anomaliesmentioning
confidence: 99%
“…23 Many patients who have had hypospadias surgery do not need follow-up, therefore, we do not know the precise complication rate, but there are now data to suggest that with prolonged follow-up, beyond puberty, complication rates such as fistulae and strictures may be up to 25%. 24,25 For those patients who are found to have an unoperated hypospadias in adolescence or adulthood, these need careful examination and counselling about the value (or not) of surgery, and those with a distal (mild) hypospadias may not need surgery at all. Patients who have had prior surgery that develop problems later in life need referral to a specialist centre for evaluation and treatment.…”
Section: Penile Anomaliesmentioning
confidence: 99%
“…The importance of good transition and multidisciplinary care is increasingly recognised in order to maintain good engagement with health care and to minimise the incidence and impact of any complications that arise. 8 Advances in surgical technique and medical support (including intensive care) mean that survival into adulthood, even with major congenital anomalies is a normal expectation. Therefore, the affected adult patient group has grown in number.…”
Section: Expectations For the Futurementioning
confidence: 99%
“…About 70% of hypospadias cases are distal and coronal (2,3). This congenital abnormality results in impaired urination and sexual functions and aesthetics due to the different anatomical shapes of the penis in normal conditions (4).…”
Section: Introductionmentioning
confidence: 99%