Publication:

Snodgrass tubularized incised plate urethroplasty for distal penile hypospadias in paediatric age group: our experience

Background To report short term results of Snodgrass tubularized incised plate (TIP) urethroplasty in distal penile hypospadias (DPH) repair. The complications and outcomes of the procedure are discussed.

Methods We reviewed the results of 30 cases of Snodgrass TIP urethroplasty for distal penile hypospadias (DPH) treated between November 2003 and April 2005 in paediatric patients. Observations were recorded to note the associated anomalies, cosmesis, complications and final outcome of the procedure.

Results The age of the study participants ranged from 2 to 12 years. About half (52%) of the cases presented early below 5 years of age and barely few (12%) reported late after 10 years of age. Meatal configuration, overall cosmesis and functional results were good in 26 cases (86%). Minor fistulas occurred in 5 cases whereas major fistula occurred in 2 cases (7%). Overall complications rate, requiring specific intervention was 2 cases (7%).

Conclusions In our experience, Snodgrass TIP urethroplasty is technically simple, easy to learn, single stage procedure with excellent functional and cosmetic outcomes for DPH. It has simplified the algorithm for distal penile hypospadias.