Comparative study between Snodgrass technique with preputioplasty and Snodgrass technique with circumcision in treatment of distal hypospadias

Abdelwahab, Mohammed Mostafa; Sobeih, Hazem Mohammed; Loulah, Magdi Ahmed; A.Elgazzar, Sherif; Mohammed, Hisham Elsayed

doi:10.21608/bmfj.2023.173156.1704

Comparative study between Snodgrass technique with preputioplasty and Snodgrass technique with circumcision in treatment of distal hypospadias

Document Type : Original Article

Authors

¹ Professor of General Surgery- Faculty of Medicine, Benha University

² Professor of General Surgery &Pediatric surgery- Faculty of Medicine, Menoufia University

³ Lecturer of General Surgery- Faculty of Medicine, Benha University

⁴ Department of General Surgery- Faculty of Medicine, Benha University

10.21608/bmfj.2023.173156.1704

Abstract

Background: Hypospadias is a common congenital anomaly, affecting approximately 1 of 300 live male births making hypospadias the second most common birth defect in boys after cryptorchidism. There are more than 100 techniques for urethral reconstruction among these techniques the tubularized incised urethral plate (TIP) which was proposed by Snodgrass and has been the most popular technique for the repair of primary hypospadias. The aim of this work is to assess preputioplasty with Snodgrass technique in cases of distal hypospadias without severe chordea in comparison to correction of hypospadias with circumcision in Snodgrass technique regarding to the results and the outcome. Methods: This is a prospective randomized study that included 40 children with distal hypospadias.our patients were randomized into two groups. Group 1: (20 patients) underwemt Snodgrass technique with preputioplasty .Group 2: (20 patients) underwent Snodgrass technique with circumcision. Results: In the present study, 18 (90%) of Parents in group 1 was satisfied from surgery outcomes and 2(10%) weren’t satisfied. the incidence of early complications was 8 (40%) of cases in group 1 while in group 2, was 5 (25%). The incidence of late complications was 4 (20%) cases in group 1 in group 2, was 6 (30%). Conclusion: Preputioplasty with Snodgrass urethroplasty does not increase the urethroplasty complication rate. In addition, we think that it adds an important cosmetic benefit,that is the normal appearance of penis compared with circumcision.

Keywords