<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-4085</journal-id>
<journal-title><![CDATA[Revista mexicana de urología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. urol.]]></abbrev-journal-title>
<issn>2007-4085</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-40852024000200006</article-id>
<article-id pub-id-type="doi">10.48193/90pvqe51</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tratamiento quirúrgico de hipospadias lisiada en el adulto]]></article-title>
<article-title xml:lang="en"><![CDATA[Surgical treatment of cripple hypospadias in the adult]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivera Astorga]]></surname>
<given-names><![CDATA[Hugo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[León López]]></surname>
<given-names><![CDATA[Paulina Lucia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez Tabares]]></surname>
<given-names><![CDATA[María del Pilar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Valeriano]]></surname>
<given-names><![CDATA[David Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gurrola Ortega]]></surname>
<given-names><![CDATA[Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jaspersen Gastélum]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Virgen Gutiérrez]]></surname>
<given-names><![CDATA[José Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rico Frontana]]></surname>
<given-names><![CDATA[Eloy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivera Colín]]></surname>
<given-names><![CDATA[César Alessandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Secretaría de Salud Hospital General de México "Dr. Eduardo Liceaga" ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2024</year>
</pub-date>
<volume>84</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852024000200006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852024000200006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852024000200006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Caso clínico: Se reporta el caso de un masculino de 21 años con diagnóstico de hipospadias de uretra peneana distal y antecedente de siete intervenciones quirúrgicas para corrección de hipospadias fallidas durante su niñez y adolescencia. Se realiza una plastia de uretra con injerto de mucosa oral y colgajo de Dartos para solución del hipospadias.  Relevancia: El hipospadias es la segunda afección congénita urológica más común en masculinos y se presenta como un cierre incompleto de la uretra, desplazamiento ventral del meato y anomalías en el prepucio, además de en otras estructuras del pene. La etiología apunta hacia causas genéticas, estimulación hormonal deficiente y la relación placenta-feto, pero la causa exacta aún es desconocida. El tratamiento es quirúrgico y consiste en la tubulación de injertos para la reconstrucción de la uretra, su objetivo es corregir la funcionalidad y conservar la estética. La cirugía se recomienda a partir de los 6 a los 18 meses. El hipospadias es poco común en adultos, y el manejo también es quirúrgico, no existe un tratamiento de elección debido a la complejidad de los casos y los factores propios de cada paciente. El riesgo de complicaciones va a incrementar con la edad del paciente y la cantidad de intervenciones previas.  Conclusión: El hipospadias es poco frecuente durante la etapa adulta debido a que la mayoría se trata durante la infancia. Se considera que el uso de injertos de mucosa oral más colgajo de datos, es una buena opción para el tratamiento de estos pacientes ya que la mayoría presentan factores desfavorables como fibrosis, isquemia y un mayor riesgo de infección.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Clinical case:  The case of a 21-year-old male with a diagnosis of hypospadias of the distal penile urethra and a history of 7 failed surgical interventions to correct hypospadias during his childhood and adolescence is reported. A urethral plasty was performed with oral mucosa graft and a Dartos flap to resolve the hypospadias.  Relevance:  Hypospadias is the second most common congenital urologic condition in males and presents as incomplete closure of the urethra, ventral displacement of the meatus, and abnormalities of the prepuce, as well as other penile structures. The etiology points towards genetic causes, deficient hormonal stimulation and the placenta-fetus relationship, but the exact cause is still unknown. The treatment is surgical and consists of the tubulation of grafts for the reconstruction of the urethra, its objective is to correct the functionality and preserve the aesthetics, surgery is recommended from 6 to 18 months. Hypospadias is rare in adults, and management is also surgical; there is no treatment of choice due to the complexity of the cases and the factors specific to each patient. The risk of complications will increase with the age of the patient and the number of previous interventions.  Conclusion:  Hypospadias is rare during the adult stage because most of it is treated during childhood. It is considered that the use of oral mucosa grafts plus data flap is a good option for the treatment of these patients since most present unfavorable factors such as fibrosis, ischemia and a higher risk of infection.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Hypospadias]]></kwd>
<kwd lng="en"><![CDATA[hypospadias in adult]]></kwd>
<kwd lng="en"><![CDATA[surgical treatment]]></kwd>
<kwd lng="es"><![CDATA[Hipospadias]]></kwd>
<kwd lng="es"><![CDATA[hipospadias en adultos]]></kwd>
<kwd lng="es"><![CDATA[tratamiento quirúrgico]]></kwd>
</kwd-group>
</article-meta>
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