There are no official guidelines to assist in answering this question. I will search for relevant research papers instead.
From the Research
Glandular Hypospadias Repair
- Glandular hypospadias represents approximately 15% of the hypospadias variants seen 1
- Surgical approaches applicable to the child with glandular hypospadias include urethromeatoplasty, MAGPI, the GAP procedure, MIV glans plasty, urethral advancement procedure, and parameatal based flap variants, including the Mathieu and Barcat procedures 1
- The need for surgical correction of glandular hypospadias is not explicitly stated in the provided studies, but it is implied that surgical repair is often necessary to achieve a normal-appearing penis 1
Indications for Surgical Repair
- There is no clear indication of when glandular hypospadias requires surgical repair, but it is suggested that surgical techniques should be undertaken to achieve a normal-appearing penis 1
- The decision to perform surgical repair may depend on the individual case and the severity of the hypospadias 2
- Some studies suggest that surgical repair is often necessary to prevent complications such as fistula formation and to improve cosmetic and functional outcomes 2, 3
Surgical Techniques and Outcomes
- Various surgical techniques are available for the repair of glandular hypospadias, including modify meatal advancement glandular with release chordi and Snodgrass surgical methods 3
- The choice of surgical technique may depend on the individual case and the severity of the hypospadias 3
- Studies have shown that surgical repair of hypospadias can result in good cosmetic and functional outcomes, but long-term follow-up is necessary to assess the durability of the repair 4, 5