Abstract
Background: There are various surgical techniques for hypospadias repair. The quest for an operative procedure with excellent results and minimal complications is still needed. This study was conducted to see the short term results of tubularized incised plate urethroplasty as described by Snodgrass in anterior hypospadias.
Material & Methods: This case series was observed at Surgical A Unit, Mardan Medical Complex, Mardan, from December 2009 to March 2011. Thirty-three children with anterior hypospadias were included. Inclusion criteria were anterior distal shaft hypospadias with good urethral plate and exclusion criteria were association with chordae and history of previous surgery. Urethral repair was done with Snodgrass method. Patients were followed for one year.
Results: Thirty-three patients underwent Snodgrass repair. The age of patients ranged from 2 to 12 years with a mean of 5.1 years. Among these 24 (72.7%) patients had distal penile and 9 (27.2%) midshaft hypospadias. Regarding complications, 3(9.1%) patients had small fistula formation in the early post operative period; 2 healed spontaneously and one required closure under general anaesthesia which was successful. Two patients had meatal stenosis which responded to meatal dilatation. One patient had glandular disruption which was repaired after 6 months. There was no incidence of urethral stricture, urethral diverticulum or any other major complication during the follow up.
Conclusions: The Snodgrass repair for anterior hypospadias has excellent cosmetic and functional results. Complication rate is low as compared to other procedures.