Snodgrass tubularized incised plate urethroplasty for distal penile hypospadias in paediatric age group: our experience

Ajay Kumar Jain; Dhiraj Sharma; Kailash Charokar

doi:10.18203/2349-2902.isj20160229

Authors

Ajay Kumar Jain Department of Surgery, PCMS & RC, Bhopal, MP, India
Dhiraj Sharma Department of Surgery, PCMS & RC, Bhopal, MP, India
Kailash Charokar Department of Surgery, PCMS & RC, Bhopal, MP, India

DOI:

https://doi.org/10.18203/2349-2902.isj20160229

Keywords:

Distal penile hypospadias, Urethroplasty, Tubularized incised plate urethroplasty, Snodgrass TIP urethroplasty

Abstract

Background: To report short term results of Snodgrass tubularized incised plate (TIP) urethroplasty in distal penile hypospadias (DPH) repair. The complications and outcomes of the procedure are discussed.

Methods: We reviewed the results of 30 cases of Snodgrass TIP urethroplasty for distal penile hypospadias (DPH) treated between November 2003 and April 2005 in paediatric patients. Observations were recorded to note the associated anomalies, cosmesis, complications and final outcome of the procedure.

Results: The age of the study participants ranged from 2 to 12 years. About half (52%) of the cases presented early below 5 years of age and barely few (12%) reported late after 10 years of age. Meatal configuration, overall cosmesis and functional results were good in 26 cases (86%). Minor fistulas occurred in 5 cases whereas major fistula occurred in 2 cases (7%). Overall complications rate, requiring specific intervention was 2 cases (7%).

Conclusions: In our experience, Snodgrass TIP urethroplasty is technically simple, easy to learn, single stage procedure with excellent functional and cosmetic outcomes for DPH. It has simplified the algorithm for distal penile hypospadias.

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