use of tubularized incised plate [TIP] urethroplasty [Snodgrass] for treatment of either distal or mid shaft hypospadias [50 patients]

ABSTRACT

This study was done to determine whether the Snodgrass repair is an appropriate treatment for distal, mid-penile, and recurrent hypospadias through assessing operative duration, as well as standardizing the procedure details with special concern to type of suture material, duration of catheter stay, type of dressing, post operative calibration, the complication rate, and the need of post operative meatal dilatation. Between April 2007 and April 2008, 50 males with hypospadias aged 6months to 23 years were operated upon by the tubularized incised plate [Snodgrass] technique of hypospadias repair. Six patients had a complications rate [12%] while the rest of patients [44 patients] pass without complications with success rate [88%]. Complications were encountered in the form of three patients with urethrocutaneous fistulae, two patients failed repair and one patient had meatal stenosis. Standard Tubularized incised plate Urethroplasty [Snodgrass] with double-layer covering of the neourethra and with dorsal subcutaneous tissue is the procedure of choice for treatment of primary cases of distal/mid shaft hypospedias. This technique seems suitable for reconstruction of proximal, secondary, and even complicated hypospadias