Snodgrass procedure for primary hypospadias repair.
Int J Urol
; 9(4): 215-8, 2002 Apr.
Article
in En
| MEDLINE
| ID: mdl-12010316
ABSTRACT
BACKGROUND:
In this study, the authors' experience in adaptation of the Snodgrass technique for primary hypospadias repair, with an alternative way to create a barrier layer of dartos flap for neourethral covering, is presented.METHODS:
Between March 2000 and January 2001, Snodgrass urethroplasty was consecutively done on 24 boys aged between 14 months and 9 years (median 3 years). The position of the meatus was coronal in one boy, at the distal shaft in two, at mid-shaft in eight, at the proximal shaft in five, penoscrotal in four, scrotal in three and perineal in one. Dorsal plication was carried out in nine patients (37.5%) to correct residual ventral curvature after penile degloving. Postoperatively the neourethra was stented for 10-12 days and suprapubic diversion was used for 12-14 days.RESULTS:
Postoperative follow up ranged from 4 to 14 months (median 8 months). All patients undergoing Snodgrass repair obtained a neourethra with a slit-like meatus at the tip of the glans. A small urethrocutaneous fistula occurred in one patient with mid-shaft and two with proximal-shaft hypospadias (an overall fistula rate of 12.5%). Urethral stricture had not been encountered at the time of this report. One patient developed mild meatal stenosis and was successfully managed by simple dilatation.CONCLUSIONS:
The results indicate that Snodgrass urethroplasty provides satisfactory cosmetic and functional results and is versatile in repairing almost all types of hypospadias.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Urethra
/
Plastic Surgery Procedures
/
Hypospadias
Limits:
Child
/
Child, preschool
/
Humans
/
Infant
/
Male
Language:
En
Journal:
Int J Urol
Journal subject:
UROLOGIA
Year:
2002
Document type:
Article
Affiliation country:
China
Publication country:
AU
/
AUSTRALIA
/
AUSTRÁLIA