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Masters Thesis | General Surgery | India | Volume 12 Issue 6, June 2023
Outcome of Snodgrass versus Snodgraft Urethroplasty in Distal Hypospadias
Dr. Tarun Kumar Patel | Dr. Manish Rajput [2] | Dr. Puneet Shrivastava
Abstract: Background: Hypospadias is one of the most common congenital anomalies of the malegenitourinary system. Snodgrass operation is a quiet popular technique used to repair distal and mid shaft defects. However, it carries increased risk of many complications such as meatal stenosis. Snodgraft repair using an inner preputial free graft is aproposed technique aiming to reduce the risk of complications. Method: The study included 40 cases of distal hypospadias that were admitted to the Pediatric Surgery unit, S. N. Medical College and Hospital, Agra during the period from 2020 to 2022. Cases were divided into 2 groups; Group A: The SnodgraftGroup (20 cases) and Group B: The Snodgrass group (20 cases). Observation: Postoperative urethrocutaneous fistula occurred in 2 patients (10%) in group A and 3 patients (15%) in group B. Meatal stenosis developed in 1 case (5%) in Group A versus 2 Cases (10%) in Group B.18 cases (90%) in group A had Good and excellent cosmesis whereas in group B had 14 cases (70%). Conclusion: Snodgraft operation is more technically challenging and requires longer operative time than the original Snodgrass operation, so its indication should be tailored according tothe patient's condition. Snodgraft method of repair seems to be promising with better cosmetic and functional results. In spite of having encouraging results we feel this is a learning phase and time will prove its superiority over other methods after long term follow up in more number of cases.
Keywords: Distal hypospadias, Snodgrass repair, Snodgraft repair, Meatal stenosis
Edition: Volume 12 Issue 6, June 2023,
Pages: 1753 - 1755