Study in two different procedures for repair of hypospadias

ABSTRACT

Repair of hypospadias remains one of the challenging problems for pediatric surgeons. The aim of this paper is to compare two commonly used procedures in repairing proximal hypospadias; the perimeatal based flap [Mathieu] procedure, and the tabularized incised plate [Snodgrass] urethroplasty procedure. 64 patients had undergone hypospadias repair for distal hypospadias coronal, subcoronal and anterior shaft over a three-year period from January 2005 to December 2007 in pediatric surgery unit / The Maternity and Child Teaching Hospital Al-Qadisiya-Iraq were reviewed. Patients were assigned into two groups to undergo either Snodgrss or Mathieu surgical repair by a single surgeon. The majority of patients aged 3 to 5 years. A perimeatal skin flap [Mathieu repair] was performed in 42 [65.6%] patients and tubularized incised plate [TIP] urethroplasty [Snodgrass procedure] in 22 [34.3%] patients. Cosmetic results were excellent with Snodgrass repair with a normal looking slit like meatus. Combining the Mathieu procedure with plate incision can be a promising simple technique to achieve a normally shaped meatus and to reduce the rate of meatal-related complications