{"id":"https://openalex.org/W4233990362","doi":"https://doi.org/10.1016/j.juro.2010.02.2349","title":"847 THE CLEVELAND CLINIC EXPERIENCE WITH ADULT HYPOSPADIAS PATIENTS UNDERGOING REPAIR: THEIR PRESENTATION AND A NEW CLASSIFICATION SYSTEM","display_name":"847 THE CLEVELAND CLINIC EXPERIENCE WITH ADULT HYPOSPADIAS PATIENTS UNDERGOING REPAIR: THEIR PRESENTATION AND A NEW CLASSIFICATION SYSTEM","publication_year":2010,"publication_date":"2010-03-23","ids":{"openalex":"https://openalex.org/W4233990362","doi":"https://doi.org/10.1016/j.juro.2010.02.2349"},"language":"en","primary_location":{"id":"doi:10.1016/j.juro.2010.02.2349","doi":"https://doi.org/10.1016/j.juro.2010.02.2349","is_oa":false,"landing_page_url":"https://doi.org/10.1016/j.juro.2010.02.2349","pdf_url":null,"source":{"id":"https://openalex.org/S30525748","display_name":"The Journal of Urology","issn_l":"0022-5347","issn":["0022-5347","1527-3792"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Urology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5022804099","display_name":"Christina Barbara Ching","orcid":"https://orcid.org/0000-0002-3396-4215","observed_orcids":["https://orcid.org/0000-0002-3396-4215"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Christina Ching","raw_affiliation_strings":["Cleveland, OH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cleveland, OH","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005880611","display_name":"Hadley M. Wood","orcid":"https://orcid.org/0009-0006-8703-0190","observed_orcids":["https://orcid.org/0009-0006-8703-0190"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Hadley Wood","raw_affiliation_strings":["Cleveland, OH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cleveland, OH","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055120016","display_name":"Jonathan D. C. Ross","orcid":"https://orcid.org/0000-0002-4193-6919","observed_orcids":["https://orcid.org/0000-0002-4193-6919"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jonathan Ross","raw_affiliation_strings":["Cleveland, OH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cleveland, OH","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Tianming Gao","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Tianming Gao","raw_affiliation_strings":["Cleveland, OH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cleveland, OH","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5110603985","display_name":"Kenneth W. Angermeier","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kenneth Angermeier","raw_affiliation_strings":["Cleveland, OH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cleveland, OH","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":3000,"currency":"USD","value_usd":3000},"apc_paid":null,"fwci":1.2991,"has_fulltext":false,"cited_by_count":4,"citation_normalized_percentile":{"value":0.82837146,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":96},"biblio":{"volume":"183","issue":"4S","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11815","display_name":"Urological Disorders and Treatments","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11815","display_name":"Urological Disorders and Treatments","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11174","display_name":"Pediatric Urology and Nephrology Studies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12716","display_name":"Congenital Anomalies and Fetal Surgery","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hypospadias-repair","display_name":"hypospadias repair","score":0.8539999723434448},{"id":"https://openalex.org/keywords/urethroplasty","display_name":"urethroplasty","score":0.9509999752044678},{"id":"https://openalex.org/keywords/classification-systems","display_name":"classification systems","score":0.843999981880188},{"id":"https://openalex.org/keywords/obstructive-voiding-symptoms","display_name":"obstructive voiding symptoms","score":0.6990000009536743},{"id":"https://openalex.org/keywords/irritative-voiding-symptoms","display_name":"irritative voiding symptoms","score":0.8529999852180481},{"id":"https://openalex.org/keywords/urethral-stricture","display_name":"urethral stricture","score":0.5759999752044678},{"id":"https://openalex.org/keywords/urethral-stricture-recurrence","display_name":"urethral stricture recurrence","score":0.453000009059906},{"id":"https://openalex.org/keywords/long-term-outcomes","display_name":"long-term outcomes","score":0.4950000047683716}],"concepts":[{"id":"https://openalex.org/C2777990738","wikidata":"https://www.wikidata.org/wiki/Q1132108","display_name":"Hypospadias","level":2,"score":0.9875692129135132},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9039146900177002},{"id":"https://openalex.org/C2777601897","wikidata":"https://www.wikidata.org/wiki/Q3409113","display_name":"Presentation (obstetrics)","level":2,"score":0.6797847747802734},{"id":"https://openalex.org/C2778841284","wikidata":"https://www.wikidata.org/wiki/Q7900438","display_name":"Urethroplasty","level":3,"score":0.46211177110671997},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4260058104991913},{"id":"https://openalex.org/C133507102","wikidata":"https://www.wikidata.org/wiki/Q4712977","display_name":"Genitourinary system","level":2,"score":0.42283278703689575},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.4198130965232849},{"id":"https://openalex.org/C2777085111","wikidata":"https://www.wikidata.org/wiki/Q9386","display_name":"Urethra","level":2,"score":0.4173043966293335},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.411202996969223},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.08744558691978455}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1016/j.juro.2010.02.2349","doi":"https://doi.org/10.1016/j.juro.2010.02.2349","is_oa":false,"landing_page_url":"https://doi.org/10.1016/j.juro.2010.02.2349","pdf_url":null,"source":{"id":"https://openalex.org/S30525748","display_name":"The Journal of Urology","issn_l":"0022-5347","issn":["0022-5347","1527-3792"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Urology","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.98580002784729,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W1526106932","https://openalex.org/W2149014522","https://openalex.org/W2526568307","https://openalex.org/W4386137900","https://openalex.org/W4281805237","https://openalex.org/W4401525990","https://openalex.org/W3143064295","https://openalex.org/W765549154","https://openalex.org/W7069041960","https://openalex.org/W2984422807"],"abstract_inverted_index":{"You":[0],"have":[1,348,363],"accessJournal":[2],"of":[3,103,148,158,190,197,201,213,223,258,291,319,344,357],"UrologyPenis/Testis/Urethra:":[4],"Benign":[5],"&":[6,404],"Malignant":[7],"Disease":[8],"III1":[9],"Apr":[10],"2010847":[11],"THE":[12],"CLEVELAND":[13],"CLINIC":[14],"EXPERIENCE":[15],"WITH":[16],"ADULT":[17],"HYPOSPADIAS":[18],"PATIENTS":[19],"UNDERGOING":[20],"REPAIR:":[21],"THEIR":[22],"PRESENTATION":[23],"AND":[24,97],"A":[25,164],"NEW":[26],"CLASSIFICATION":[27],"SYSTEM":[28],"Christina":[29,40,416],"Ching,":[30],"Hadley":[31,49,423],"Wood,":[32],"Jonathan":[33,58,430],"Ross,":[34],"Tianming":[35,67,437],"Gao,":[36],"and":[37,76,121,138,182,199,210,250,283,330,366,394,412],"Kenneth":[38,77,444],"Angermeier":[39,79,445],"ChingChristina":[41],"Ching":[42,417],"More":[43,52,61,70,80,341,418,425,432,439,446],"articles":[44,53,62,71,81,419,426,433,440,447],"by":[45,54,63,72,82,389,407,420,427,434,441,448],"this":[46,55,64,73,83,150,159,314,421,428,435,442,449],"author":[47,56,65,74,84,422,429,436,443,450],",":[48,57,66,75],"WoodHadley":[50],"Wood":[51,424],"RossJonathan":[59],"Ross":[60,431],"GaoTianming":[68],"Gao":[69,438],"AngermeierKenneth":[78],"View":[85],"All":[86,452],"Author":[87],"Informationhttps://doi.org/10.1016/j.juro.2010.02.2349AboutPDF":[88],"ToolsAdd":[89],"to":[90,132,152,384],"favoritesDownload":[91],"CitationsTrack":[92],"CitationsPermissionsReprints":[93],"ShareFacebookTwitterLinked":[94],"InEmail":[95],"INTRODUCTION":[96],"OBJECTIVES":[98],"While":[99],"hypospadias":[100,119,173,229,271,336,347,365],"is":[101,111],"one":[102],"the":[104,155,244,355],"most":[105,245],"common":[106,246,312],"genitourinary":[107],"congenital":[108],"anomalies,":[109],"little":[110],"known":[112],"about":[113],"long-term":[114],"outcomes":[115],"both":[116],"after":[117,277],"childhood":[118,281],"repair":[120],"for":[122,188,377],"uncorrected":[123],"hypospadias.":[124],"We":[125],"reviewed":[126,187],"our":[127],"experience":[128],"with":[129,172,325,335,346,361],"adult":[130,206,358],"hypospadiacs":[131,359,372],"better":[133,153],"clarify":[134],"their":[135,256],"presentation,":[136],"history,":[137],"intraoperative":[139],"findings.":[140],"In":[141],"so":[142],"doing,":[143],"we":[144,260],"identified":[145,216],"a":[146,338],"means":[147],"categorizing":[149],"group":[151],"describe":[154],"natural":[156],"history":[157,196,257],"anomaly":[160],"in":[161,313,381],"adulthood.":[162],"METHODS":[163],"retrospective":[165],"chart":[166],"review":[167],"was":[168,310],"performed":[169],"on":[170,255],"adults":[171,345],"who":[174],"underwent":[175],"urethroplasty":[176],"at":[177,375],"Cleveland":[178],"Clinic":[179],"between":[180,208],"1993":[181],"2009.":[183],"The":[184,220,289,317],"charts":[185],"were":[186,215,243,293,301,327],"site":[189],"hypospadias,":[191],"presenting":[192,247,360],"complaint,":[193],"overall":[194,251],"symptoms,":[195],"repair,":[198,259],"type":[200],"surgery":[202],"performed.":[203],"RESULTS":[204],"55":[205],"patients":[207,224,263,292,299,324],"18":[209],"72":[211],"years":[212],"age":[214,218],"(mean":[217],"37.8).":[219],"majority":[221,290,356],"(90.9%)":[222],"had":[225,349],"an":[226,278],"anterior":[227,364],"urethral":[228],"(glanular/subcoronal":[230],"10.9%,":[231],"penile/shaft":[232],"45.5%,":[233],"bulbar":[234],"34.5%)":[235],"(Figure":[236,304],"1a).":[237],"Obstructive":[238],"or":[239],"irritative":[240],"voiding":[241],"symptoms":[242],"complaint":[248],"(50.9%)":[249],"symptom":[252],"(81.8%).":[253],"Based":[254],"found":[261],"that":[262],"fit":[264],"into":[265],"3":[266],"categories:":[267],"Category":[268,273,284,294,302,322],"I:":[269],"true":[270],"cripples;":[272],"II:":[274],"delayed":[275],"complications":[276,362],"initially":[279],"successful":[280],"repair;":[282],"III:":[285],"no":[286],"previous":[287],"repair.":[288],"I":[295],"(58.2%);":[296],"however,":[297],"7":[298],"(12.7%)":[300],"III":[303,323],"1b).":[305],"Balanitis":[306],"xerotica":[307],"obliterans":[308],"(BXO)":[309],"more":[311,368],"subgroup":[315],"(p=0.037).":[316],"length":[318],"strictures":[320],"among":[321],"BXO":[326],"3.5,":[328],"7,":[329],"8":[331],"cm.":[332],"CONCLUSIONS":[333],"Adults":[334],"represent":[337],"heterogeneous":[339],"group.":[340],"than":[342],"half":[343],"multiple":[350],"surgeries":[351],"(Category":[352],"I).":[353],"Interestingly,":[354],"not":[367],"proximal":[369],"disease.":[370],"Unrepaired":[371],"may":[373],"be":[374],"risk":[376],"severe":[378],"stricture":[379],"disease":[380],"adulthood":[382],"due":[383],"BXO.":[385],"Cleveland,":[386],"OH\u00a9":[387],"2010":[388,406],"American":[390,408],"Urological":[391,409],"Association":[392,410],"Education":[393,411],"Research,":[395,413],"Inc.FiguresReferencesRelatedDetails":[396],"Volume":[397],"183Issue":[398],"4SApril":[399],"2010Page:":[400],"e330-e331":[401],"Advertisement":[402,453,454],"Copyright":[403],"Permissions\u00a9":[405],"Inc.MetricsAuthor":[414],"Information":[415],"Expand":[451],"PDF":[455],"downloadLoading":[456],"...":[457]},"counts_by_year":[{"year":2020,"cited_by_count":1},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":2}],"updated_date":"2026-09-29T14:09:16.559479","created_date":"2022-05-12T00:00:00"}