An Observational Study between Snodgrass Urethroplasty and Modified Mathieu’s Repair in the Management of Distal Penile Hypospadias

ABSTRACT

Background: Objectives: An Observational Study Between Tubularized incised plate urethroplasty (Snodgrass) and Modified Mathieu’s repair in the management of distal hypospadias. Study Design: An Observational And Comparative Study. Place and Duration Department of general surgery GMC Srinagar from Jan 2015 to December 2016. Methods: A total of fifty patients, upto 15 years of age were included in the study. Patients of Distal Penile Hypospadias with significant chordae and history of previous surgery were excluded. Patients were selected in two groups,25 each by randomization. In each group. Group I had Snodgrass and Group II had Modified Mathieu’s repair. Operative time was noted for both the procedures separately. Patients were followed for subsequent outcome. Complications were noted as immediate postoperative (within 24 hours), delayed post-operative (within 72 hours) and on follow up. Results: The mean duration of surgery was significantly lower for Tubularized incised plate urethroplasty (Snodgrass) as compared to Mathieu’s repair and the overall complications were more in modified mathieu’s repair. Conclusion: The overall complication rate and operative time were significantly lower in Tubularized Incised Plate urethroplasty (Snodgrass), Therefore we recommend this repair as a primary treatment for distal penile hypospadias.