A comparative study between Snodgrass and urethral advancement methods in the repair of distal penile Hypospadias

Alngaar, Yassin; Alshahat, Osama; Zayid, Tarek

doi:10.21608/aimj.2020.69582

Cited by 4 publications

(10 citation statements)

References 17 publications

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“…In the second group, the urethral advancement procedure was carried out, and reported age ranged between 12 months to 12 years (mean 3.2 years). 23 The reported hospital stay in the present study was 7 to 9 days (mean 7.37 days) for group A and 10 to 13 (mean 11.04 days) days for group B. Shorter hospital for limited urethral mobilization urethroplasty and longer for Snodgrass technique has been reported in many published studies.…”

Section: Resultssupporting

confidence: 47%

“…10,21,22,24,25,27,28 Meatal stenosis is another important complication that has been reported with both techniques. 10,20,21,23,25,29 10,12,25,29 The small sample size is a limitation of our study. Fifty-six patients were included in the first year of the study period, whereas due to the covid-19 pandemic, only thirty-three patients with distal hypospadias were operated on in the second year of the study.…”

Section: Resultsmentioning

confidence: 93%

“…Shorter hospital for limited urethral mobilization urethroplasty and longer for Snodgrass technique has been reported in many published studies. 10,23,24 3 min for tubalarized incised plate urethroplasty. 23 Short operation duration for limited urethral mobilization urethroplasty has been reported in the published literature.…”

Section: Resultsmentioning

confidence: 99%

“…10,23,24 3 min for tubalarized incised plate urethroplasty. 23 Short operation duration for limited urethral mobilization urethroplasty has been reported in the published literature. 21,22,25 Regarding the postoperative complications, urethrocutaneous fistula was noted in 01 patients (2.22%) in group A and 03 patients (6.81%) in group B. Karim S, reported urethrocutaneous fistula in1.47% of patients with limited urethral mobilization urethroplasty and 14.29% patients with modified Snodgrass repair.…”

Section: Resultsmentioning

confidence: 99%

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A comparative study of two operative procedures in anterior hypospadias repair: limited urethral mobilization and tubularized incised plate urethroplasty.

Rehman¹,

Ishtiaq

Fazal

et al. 2021

TPMJ

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Objectives: This study is aimed to compare the results of limited urethral mobilization and tubularized incised plate urethroplasty in the management of anterior hypospadias, in terms of cosmetic and functional outcomes, complication rate, operative time, and hospital stay. Study Design: Prospective Randomized Controlled study. Settings: Department of Pediatric Surgery, DHQ Teaching Hospital Sahiwal. Period: January 2019 to December 2020. Material and Methods: A total of 89 patients with anterior hypospadias were included. Patients were divided randomly into two groups. In group A, limited urethral mobilization was performed and in group B, tubularized incised plate urethroplasty was carried out. A self-structured performa was used to collect the data of all patients. Both groups were compared in terms of the operation time, hospital stay, postoperative complications, cosmetic appearance, and functional outcomes. Results: Forty-five patients were included in group A, age ranged from 2.5 to 12 years (mean 4.83years). Forty-four patients were included in group B and their ages ranged from 3.5 to 11years (mean 4.76 years). The operation time was significantly less for group A than for group B. In group A, it ranged from 54 to 69 min with an average time of 60.51 min and in group B from 70 to 88 min, with an average of 79.34 min. The mean hospital stay period in group A was 7.37 days, ranged from 7 to 9 days, and in group B was 11.04 days, ranging from 10 to 13 days. The mean follow-up period in both groups was 7.45 months, ranging from 3 months to 12 months. Meatal stenosis was the most common complication in group A, which developed in 6.66% (n=3) patients. Urethrocutaneous fistula was the most common complication in group B, which developed in 6.81% (n=3) patients. Cosmetic appearance and functional outcome were good and comparable in both groups. Conclusion: Although both techniques, tubularized incised plate and limited urethral mobilization urethroplasty are acceptable modalities for the management of anterior hypospadias. But limited urethral mobilization urethroplasty seems to be a good option due to its simplicity, short hospital stay, significant shorter operative time, low fistula formation rate, and good cosmetic and functional outcomes.

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Section: Resultssupporting

confidence: 47%

Section: Resultsmentioning

confidence: 93%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

A comparative study of two operative procedures in anterior hypospadias repair: limited urethral mobilization and tubularized incised plate urethroplasty.

Rehman¹,

Ishtiaq

Fazal

et al. 2021

TPMJ

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show abstract

“…Generally, postoperative complications often occur within 7-10 d following surgery in most cases. However, long-term followup is required due to delayed presentation of the urethral fistula and recurrent curvature of the penis after puberty 5,6 . The TIP (Tubularized Incised Plate) or Snodgrass technique was introduced in 1994 in terms of the simple Thiersch-Duplay technique, which involved urethral tubing.…”

Section: Introductionmentioning

confidence: 99%

Comparative Study of Modifying Meatal Advancement Glandular with Release Chordi versus Snodgrass Surgical Methods Regarding the Repair of Distal Hypospadias

Askarpour

Peyvasteh

Mohamadi

et al. 2021

WJPS

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Distension methods of surgical correction of hypospadias in boys

et al. 2021

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Difficulties in the treatment of hypospadias in boys persist to this day. After surgical correction of hypospadias, fistulas, strictures, urethral diverticula, retraction of the meatus, glans dehiscence and other complications occur. At the same time, it is quite difficult to understand the whole variety of proposed methods for correcting hypospadias, which creates confusion for specialists and negatively affects the results of treatment. The literature describes more than 300 different methods of correcting hypospadias, but none of the methods is perfect, and there are no generally accepted treatment standards. Despite this, it is an established fact that the choice of the surgery procedure depends on the type of hypospadias. A successful technique of hypospadias repair should be completed with a good cosmetic and functional result. The article presents an overview of the distension techniques of urethroplasty. For the first time, the experience of urethral advancement was presented at the end of the XIX century, but the technique was unpopular and did not have significant success. However, by the end of the XX century, more effective distension techniques of urethroplasty began to be developed, which were widely used around the world (Koff S.A., Ti-Seng Chang, Belman A.B., MAGPI, LUM, etc.). According to scientific literature, urethral advancement is a safe and reliable way to correct distal hypospadias, and it is considered as an alternative to creating a neourethra. This technique has many competitive advantages, such as the short operation time, the absence of urethral tubularization, excellent functional and cosmetic results, and a small number of complications. It, therefore, follows that distension techniques of urethroplasty are considered a good option for correcting distal hypospadias, which should be in the arsenal of every pediatric surgeon and urologist.

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A comparative study between Snodgrass and urethral advancement methods in the repair of distal penile Hypospadias

Cited by 4 publications

References 17 publications

A comparative study of two operative procedures in anterior hypospadias repair: limited urethral mobilization and tubularized incised plate urethroplasty.

A comparative study of two operative procedures in anterior hypospadias repair: limited urethral mobilization and tubularized incised plate urethroplasty.

Comparative Study of Modifying Meatal Advancement Glandular with Release Chordi versus Snodgrass Surgical Methods Regarding the Repair of Distal Hypospadias

Distension methods of surgical correction of hypospadias in boys

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