[Case-based presentation of the S2k guideline for the surgical treatment of distal, middle and proximal hypospadias].

Abstract

Hypospadias is the most frequent genital variation in male newborns with an incidence of 1:200-300. The variation within this anomaly is very high, from isolated distal hypospadias to very complex penoscrotal cases with accompanying genital or nongenital anomalies, genetic anomalies or even disorders of sexual differentiation. In the literature one can find up to 250 different surgical techniques for hypospadias repair. The goal of the new S2k guideline on hypospadias (AWMF registry no. 006-026), developed by the German Association of Urology (DGU) and the German Association of Pediatric Surgery (DGKCH), was a certain standardisation of the preoperative diagnostic workup, the surgical management and the postoperative care of patients with distal, middle or proximal hypospadias. In this article, the most important facts of the guideline are presented using a fictional case of an infant with distal hypospadias. For further reading, we refer to the S2k guideline, which can be easily accessed by scanning the pictured QR code.