Tubularized Incised plate(Snodgrass)urethroplasty as the Surgical Technique of Choice for Repair of Distal and Midshaft Hypospadias in Tikrit Teaching Hospital

Abstract

Background: The Snodgrass technique is a widely accepted method for hypospadias repair. Snodgrass has a urethroplasty of tubularized incised plate (TIP) type for repair of distal penile hypospadias. It was with encouraging results and also applied to hypospadias of proximal type.

Objective:To evaluate Conducting surgical techniques performed to repair the submicillator. Patients and Methods: In this study, we follow the patient post operatively within three months after performing this technique and notice its final outcome with respect to postoperative complications and outcome, with emphasis on meatal stenosis, fistula formation, residual chordee and penile torsion.

Results: We reviewed the results of 60 cases treated by Snodgrass urethroplasty between March 2012 and February 2014at the urological department in Tikrit Teaching Hospital. In this study, performed Snodgrass technique on 60 cases for primary hypospadias , The boys age at time of operation ranged from 18 months  to 14 years. The mean age of the children was 5 years. Complications occurred in 8 patients (13.3%). Aurethrocutaneous fistula occurred in 6 patients (10%). three (5%) of these patients with u.c.fistula  associated with meatal stenosis . one patient develop meatal stenosis  only and Penile torsion was recorded postoperatively in one patient also.

Conclusion: A shorter urethral plate incision, use of a lateral  and preputial dartos flap to cover the neourethra and more extensive skin degloving in Snodgrass urethroplasty reduce the rate of complications.