Outcomes of Repair of Anterior Penile Hypospadias by Snodgrass Technique: A Study of 50 Cases
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Keywords

Hypospadias
Anterior penile
Urethral meatus

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1.
Huda S, Uddin Khan UK, Hasina K, Al-Miraj AK, Ahmed F, Bose GK. Outcomes of Repair of Anterior Penile Hypospadias by Snodgrass Technique: A Study of 50 Cases. Integr J Med Sci [Internet]. 2022 Apr. 11 [cited 2022 Aug. 13];9. Available from: https://www.mbmj.org/index.php/ijms/article/view/659

Abstract

Introduction: Hypospadias is a developmental anomaly characterized by a urethral meatus that opens onto the ventral surface of the penis proximal to the end of the glans. Hypospadias occurs in 1 in 125 live male births. Classically, three abnormalities are found in the hypospadias penis: (1) an ectopic opening of the urethral meatus at the ventral surface; (2) a ventral curvature of the penis (chordee); (3) a hooded foreskin on the dorsum of the penis with a lack of skin on the ventral due to a V-shaped defect referred to as urethral delta. There are anterior (65%), middle (15%), and posterior penile hypospadias (20%). Objective: The objective of surgical repair of hypospadias is to provide complete straightening of the penis, placing the meatus at the tip of the glans, forming a symmetrical conical-shaped glans, and constructing a neo-urethra uniform in caliver and acceptable skin coverage. Materials and Methods: This is a cross-sectional, descriptive, observational study conducted in the Department of Pediatric Surgery, Dhaka Medical College & Hospital, Dhaka, Bangladesh, from 1 January 2009 to 30 June 2010. The total number of cases is 50. Patients having anterior penile hypospadias were selected by simple random sampling. The mean age of the patients was 5.22 years (2 to 10 years). Surgical correction was done using the Snodgrass technique. The mean operative time was 90 minutes and the postoperative hospital stay was 10 days. Results: Satisfactory results were obtained in 35 (70%) patients, and only 14 (28%) had urethrocutaneous fistula, wound infection was developed in 5 (10%) patients, and two (4%) patients had meatal stenosis. The outcome was evaluated based on urethrocutaneous fistula, meatal stenosis, and cosmesis. Of 50 patients, 35 (70%) had no urethrocutaneous fistula and the results were cosmetically acceptable. Conclusion: Early detection and correction are essential to minimize the complications and lessen the psychological trauma of the patient. Therefore, a thorough examination of the neonates following delivery in different maternal and child care clinics is mandatory. Early and timely measures also give the best cosmetic and functional results. Thus, we should put all our efforts into achieving this goal.

https://doi.org/10.15342/ijms.2022.659
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Copyright (c) 2021 S.M Samsul Huda, Md. Arif Uddin Khan, Kaniz Hasina, A. K. Al-Miraj, Farid Ahmed, Gouranga Kumar Bose

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