Distal hypospadias repair using modification of the tubularized incised plate urethroplasty snodgrass operation: New concepts

ABSTRACT

There is no single, universally applicable technique for hypospadias repair. The Snodgrass tubularized entirely incised urethral plate [TIP] urethroplasty is a recent contribution, which becomes a popular technique for repair of distal [anterior] hypospadias. It simplifies the decision-making algorithms in hypospadias surgery with achieving good functional and cosmetic results. Eighteen boys with distal hypospadias have been subjected to Snodgrass repair with new concepts in modifications to avoid postoperative external meatal stenosis and the need for regular postoperative dilatations. No single recurrence, meatal stenosis, skin loss or penile torsion occurred in this work. Only one [5.6%] case with minimal fistula occurred due to mild infection treated conservatively. All patients had a vertically oriented slit-like normal positioned external meatus. These modifications could add more functional and cosmetic results to the Snodgrass repair