. A manual of operative surgery . FIG. 155.—THIERSCH S OPERATIONFOR EPISPADIAS (FOURTH STAGE). FIG. 156.—THIERSCHS OPERATIONFOR EPISPADIAS (FOURTH STAGE). In the slightest forms of epispadias there is no incontinence,and the deformity causes no trouble, but the appearance of thepenis may be considerably improved by transplanting the re-dundant prepuce in the manner described in the third stage ofThierschs operation. 2. Operations for Hypospadias This, the commonest of all the malformations of the urethra,has been the subject of a very large number of more or lesscomplicated operations. The var
. A manual of operative surgery . FIG. 155.—THIERSCH S OPERATIONFOR EPISPADIAS (FOURTH STAGE). FIG. 156.—THIERSCHS OPERATIONFOR EPISPADIAS (FOURTH STAGE). In the slightest forms of epispadias there is no incontinence,and the deformity causes no trouble, but the appearance of thepenis may be considerably improved by transplanting the re-dundant prepuce in the manner described in the third stage ofThierschs operation. 2. Operations for Hypospadias This, the commonest of all the malformations of the urethra,has been the subject of a very large number of more or lesscomplicated operations. The varieties of the deformity are classified according tothe position of the opening of the urethra. In front of theopening the urinary passage is either entirely absent or is re-presented by a groove, or by a partly pervious canal. chap, xxii] HYPOSPADIAS 609 1. Balanitic.—The opening is here at the site of the corona,the frasnum is absent, and a hood-like prepuce exists. 2. Penile.—The urethra may open at any part of the unde
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