- CODEN : IAJPBB
- issn 2349-7750
TITLE:
ASSESSMENT OF THE RESULT OF THE SNODGRASS REPAIR IN HYPOSPADIAS IN COMPARISON TO BRACKA’S STAGE II OPERATION
AUTHORS:
Dr Jawaria Majeed, Dr Anwaar Inayat, Dr Mahpara Safdar
ABSTRACT:
Background: Great progress has been made in hypospadias repair surgery. Proximal hypospadias remain the biggest challenge; despite many innovations and great progress, surgery may fail. The purpose of this study was to evaluate the result of repairing Snodgrass in the hypospadias in our hand and at the same time identify cases that did not fit this procedure. Place and Duration: In the Surgical Unit-I of Nishter Hospital Multan for one year duration from February 2019 to February 2020. Materials and methods: 60 patients with proximal, coronary and sub-coronal hypospadias were surgically operated. Snodgrass repair was performed in 30 cases (11 coronal and 19 sub-coronal), while Bracka Stage II was used in 30 cases (26 proximal and 4 sub-crown). All cases in Bracka Stage II group whose chordee has been corrected with preputial skin graft. The second stage of urethroplasty was done at least 6 months after the first stage. Results: Thirty patients (50%) had normal meatal position, correct glanular anatomy, well defined coronal sulcus, and normal cylindrical shaft and voided from the tip with very good cosmetic and functional results, ten patients (16.6%) developed meatal stenosis, nineteen patients (31.6%) urethrocutaneous fistula, eleven patients (18.3%) developed wound infection, four patients (6.6%) developed stricture. Conclusion: Snodgrass repair offers optimal repair of the distal as well as mid-shaft hypospadiac defect with a low complication rate and an excellent cosmetic result. Staged implementation is a safe and reliable approach in selected patients in whom the urethral plaque cannot be included in the repair, and therefore requires replacement. Key words: Snodgrass repair, Bracek repair, hypospadias, muscle stenosis
FULL TEXT
Approved Journal
NLM ID:101711216 [Serial]
Included in EuroPub database
ICV 2015 - 61.16
Indexed In
S.J Impact Factor:7.157
cosmos Impact Factor:4.153
ICMJE Recommendations
IP Indexing Impact Factor: 2.76
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