Tubularized Incised Plate (Snodgrass) Urethroplasty for Hypospadias in Circumcised and Uncircumcised Patients: A Comparative Study

Abstract

Background: The tubularized incised plate urethroplasty has well been depicted for the hypospadias management, however, few studies have measured its complication on hypospadias. The current study aimed to compare the tubularized incised plate urethroplasty procedure in circumcised and uncircumcised patients on different locations of distal hypospadias. Subject and Methods: Between 9-July-2012 and 9-March-2014, 81 male patients aged 6 to 108 months (mean age 42.10 ± 25.72), including33 circumcised and 48 uncircumcised boys with distal hypospadias were recruited into the study and underwent tubularized incised plate for the first time. The complications included fistula, meatal stenosis, surgery failure or success, penile skin necrosis, and final outcome were obtained after six month follow-up of the patients. Results:The study revealed that mean surgery duration was60.00±8.18 minutes. The study did not show that surgery in different locations (p=0.872), overall outcome (p=0.153) and specific outcomes including fistula (p=0.261), meatal stenosis (p=0.337), and penile skin necrosis (p=0.299), and successful rate of operation (p=1.000) have a significant difference in circumcised and uncircumcised patients. Conclusion: The procedure is an effective, safe, and proper clinical technique to treat hypospadias in circumcised and uncircumcised patents. The study showed that the technique can be done in both group of patients successfully. Duhok Med J 2017; 11 (1): 61-68.