Lessons learned using Snodgrass hypospadias repair.

Irish Journal of Medical Science
K M O'Connor, E A Kiely

Abstract

This is a review of our experience with the Snodgrass technique for distal hypospadias repair and we point to lessons learned in improving results. We reviewed all patients who underwent Snodgrass hypospadias repair for distal hypospadias over a four-year period by a single surgeon. Chart review followed by parental telephone interview was used to determine voiding function, cosmesis and complication rate. Thirty children and three adults were identified. Age at surgery ranged from seven months to 39 years. The urinary stream was straight in 94%, and 97% reported a good or satisfactory final cosmetic outcome. One patient (3.3%) developed a urethral fistula and 21% developed meatal stenosis which required general anaesthetic. The Snodgrass urethroplasty provides satisfactory cosmetic and functional results. High rates of meatal stenosis initially encountered have improved with modifications to technique which include modified meatoplasty and routine meatal dilatation by the parents.

Citations

Oct 7, 2010·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Sameek Bhattacharya
May 27, 2009·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Luis Henrique P BragaJoao L Pippi Salle
Jun 17, 2008·Acta Cirúrgica Brasileira·Antonio Henrique Rodrigues dos PassosWilson Aparecido Oreini
Nov 8, 2014·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Amilal BhatVinay Kumar
Aug 21, 2009·The Journal of Urology·Brendan C JonesJohn M Hutson
May 11, 2010·Scandinavian Journal of Urology and Nephrology·Joerg SeiboldChristian Schwentner

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