Snodgrass Hypospadius Repair, One Stage Urethroplasty for Mid-Shaft and Distal Hypospadias. Clinical Experience and Outcome of 44 Patients
Background : Hypospadias is a common anomaly of male external gentalia. Most cases of hypospadias are distal type. Snodgrass procedure or tubularized incised plate urethroplasty has become the preferable and optimal treatment for primary and distal cases of hypospadias. The aim of this study was to study the effectiveness and evaluate the outcome of Snodgrass procedure presented for 44 patients with distal and mid-shaft hypospadias. Patients and method; from April 2011 to May 2014; 36 patients with distal hypospadias and 8 patients with mid-shaft hypospadias, (total 44 patients) had been submitted to corrective surgery foe their hypospdias by single stage Snodgrass TIP technique. Results: mean age of patients and mean operative time in this study were 2.8±1.8, 52.7±9.4 respectively. The functional and cosmetic results were excellent. The overall complications rate recorded was 13.6%. Urethro-cutaneous fistula developed n 3 patients (6.8%), meatal stenosis occurred in 2 patients (4.5%) while wound infection and dehiscence noted in 3 patients. Penile torsion was not encountered in this study. Conc usion: Snodgrass TIP technique is the most preferable and reliable repair for most patients with primary and distal hypospadias cases. It is simple, safe, effective and versatile with excellent functional and cosmetic results. The compli ations rate s relatively low and acceptable.
