The role of microsurgery and means of magnification

Abstract

An objective of hypospadias repair is to provide a penis that is normal in function and appearance. The adoption of microsurgical techniques enables this objective to be reached in a great percentage of cases also in younger patients. Nevertheless in this case, microsurgery should be considered as a philosophical behaviour rather than a surgical technique conventionally based on the utilization of the microscope, jeweller's forceps and microscissors. What is important is the concept of microsurgery; i.e. the adoption of atraumatic techniques and great respect for the tissues. Strict and constant application of these rules greatly improves final results and increases the percentage of success of reconstructive surgery of the urethra.