{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T23:00:56Z","timestamp":1785452456652,"version":"3.56.0"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aktuelle Urol"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Der \u00dcbergang von der Kinder- zur Erwachsenenmedizin ist gerade f\u00fcr Hypospadiepatienten herausfordernd. Nicht selten haben Patienten, die bereits in fr\u00fcher Kindheit operativ korrigiert wurden, wenig bis gar keine Kenntnis \u00fcber die initiale Auspr\u00e4gung der Hypospadie oder gar \u00fcber die verwendete operative Technik.Die Probleme, mit denen Hypospadiepatienten im Jugend- und Erwachsenenalter vorstellig werden sind vielf\u00e4ltig und h\u00e4ufig beklagt ein Patient mehr als ein Problem. So sehen wir Harnr\u00f6hrenstrikturen in jeder nur erdenklichen Auspr\u00e4gung, einen nicht oder nicht mehr glandul\u00e4r lokalisierten Meatus, urethrokutane Fisteln, Nachtr\u00e4ufeln, Divertikel, Spr\u00fchen des Harnstrahls, verbliebene oder wiederkehrende Deviation des Penis, Narbenbildung der Haut, zu kurze ventrale Haut, rezidivierende Harnwegsinfekte, Lichen sclerosus und vieles mehr.Bei der zu planenden Therapie muss auf die W\u00fcnsche und Sorgen des Patienten eingegangen, jedoch auch realistisch eingesch\u00e4tzt werden, was individuell priorisiert werden soll. Nicht selten ben\u00f6tigt ein Patient mehr als eine Korrekturoperation, um zum gew\u00fcnschten Ergebnis zu kommen.In der Transition soll unser Ziel sein, \u00c4ngste abzubauen, empathisch auf die Sorgen und Anliegen der Patienten einzugehen und ein breites Portfolio an Korrekturoptionen zu beherrschen, um individuelle L\u00f6sungen finden zu k\u00f6nnen.<\/jats:p>","DOI":"10.1055\/a-2864-6416","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T22:51:06Z","timestamp":1781045466000},"page":"344-351","source":"Crossref","is-referenced-by-count":0,"title":["Hypospadie als chronisches Problem? \u2013 Nachsorge, Versorgung und Komplikationsmanagement im Jugend- und Erwachsenenalter"],"prefix":"10.1055","volume":"57","author":[{"given":"Inga","family":"Kunz","sequence":"additional","affiliation":[{"name":"HELIOS Klinikum Krefeld, Germany","place":["Krefeld"],"department":["Urology"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,6,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1188","DOI":"10.1046\/j.1464-410x.2004.05128.x","article-title":"Hypospadias surgery: when, what and by whom?","volume":"94","author":"G Manzoni","year":"2004","journal-title":"BJU Int"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"281","DOI":"10.1016\/j.urology.2016.07.057","article-title":"Better Defining the Spectrum of Adult Hypospadias: Examining the Effect of Childhood Surgery on Adult Presentation","volume":"99","author":"NY Hoy","year":"2017","journal-title":"Urology"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1097\/00005392-200101000-00019","article-title":"Hypospadias repair in adults: adventures and misadventures","volume":"165","author":"TW Hensle","year":"2001","journal-title":"J Urol"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1016\/j.jpurol.2013.11.011","article-title":"Duration of follow-up to diagnose hypospadias urethroplasty complications","volume":"10","author":"W Snodgrass","year":"2014","journal-title":"J Pediatr Urol"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"3913","DOI":"10.1007\/s00345-021-03689-3","article-title":"Time to event analysis for post-hypospadias repair complications: a single-surgeon experience","volume":"39","author":"JK Kim","year":"2021","journal-title":"World J Urol"},{"issue":"S 1","key":"ref6","doi-asserted-by":"publisher","first-page":"S27","DOI":"10.5489\/cuaj.5227","article-title":"Transitioning patients with hypospadias and other penile abnormalities to adulthood: What to expect?","volume":"12","author":"K Rourke","year":"2018","journal-title":"Can Urol Assoc J"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1016\/j.jpurol.2021.10.004","article-title":"Utility and safety of hyperbaric oxygen therapy as a rescue treatment in complicated cases of hypospadias: A systematic review and meta-analysis","volume":"18","author":"S Anand","year":"2022","journal-title":"J Pediatr Urol"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"354.e1","DOI":"10.1016\/j.jpurol.2019.05.025","article-title":"Outcome of surgical management of urethral stricture following hypospadias repair","volume":"15","author":"SS Talab","year":"2019","journal-title":"J Pediatr Urol"},{"issue":"S 3","key":"ref10","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1046\/j.1464-410x.1999.0830s3029.x","article-title":"Sexuality after hypospadias repair","volume":"83","author":"A Bracka","year":"1999","journal-title":"BJU Int"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1016\/0007-1226(89)90140-9","article-title":"A long-term view of hypospadias","volume":"42","author":"A Bracka","year":"1989","journal-title":"Br J Plast Surg"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"1362","DOI":"10.1016\/j.juro.2018.06.032","article-title":"Psychosocial and Sexual Outcomes in Adolescents following Surgery for Proximal Hypospadias in Childhood","volume":"200","author":"M Andersson","year":"2018","journal-title":"J Urol"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2025.09.013","article-title":"Post-pubertal outcomes of hypospadias surgery performed during infancy: High satisfaction with urinary function and minimal lower urinary tract symptoms","author":"A Anttila","year":"2025","journal-title":"J Pediatr Urol"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"4.e1","DOI":"10.1016\/j.jpurol.2021.11.001","article-title":"Adults with previous hypospadias surgery during childhood: Beware of bulbar strictures","volume":"18","author":"S Faraj","year":"2022","journal-title":"J Pediatr Urol"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1016\/j.urology.2019.11.064","article-title":"Perineal Urethrostomy for Complicated Anterior Urethral Strictures: Indications and Patient's Choice. 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