International Journal of Current Microbiology and Applied Sciences (IJCMAS)
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Original Research Articles                      Volume : 10, Issue:5, May, 2021

PRINT ISSN : 2319-7692
Online ISSN : 2319-7706
Issues : 12 per year
Publisher : Excellent Publishers
Email : /
Editor-in-chief: Dr.M.Prakash
Index Copernicus ICV 2018: 95.39
NAAS RATING 2020: 5.38

Int.J.Curr.Microbiol.App.Sci.2021.10(5): 512-523

Snodgraft Versus Snodgrass Repair of Primary Distal Hypospadias: A Comparative Study
Wael Omar Zeina1*, Ahmed Medhat Zaki2, Osama Abdel-Ellah Al-Najjar2,Ehab Abd El Aziz El Shafei2 and Mohamed Abdel-Sattar Mohamed2
1Department of Pediatric Surgery, Benha Children Hospital, Egypt
2Department of Pediatric Surgery, Faculty of Medicine, Ain Shams University, Egypt
*Corresponding author

Hypospadias is one of the most common congenital anomalies of the male genitourinary system. Snodgrass operation is a quiet popular technique used to repair distal and mid shaft defects. However, it carries increased risk of many complications such as meatal stenosis. Snodgraft repair using an inner preputial free graft is a proposed technique aiming to reduce the risk of complications. This study was carried out to compare between Snodgraft and Snodgrass techniques in the repair of distal hypospadias. The study included 60 cases of distal hypospadias that were admitted to the Pediatric Surgery department at Benha Children Hospital during the period from January 2017 to July 2020. Cases were divided into 2 groups; Group I: The Snodgrass group (30 cases) and Group II: The Snodgraft group (30 cases). The mean operative time was longer for patients in Group II than in Group I (75.47±9.25 minutes versus 50.07±7.28 minutes). Postoperative urethrocutaneous fistula occurred in one patient (3.3%) in each group. Meatal stenosis developed in 2 cases (6.7%) in Group I versus 1 case (3.3%) in Group II. Meatal recession occurred in 2 cases (6.7%) in Group II. There was no significant difference in the complication rate among both groups. Snodgraft operation is more technically challenging and requires longer operative time than the original Snodgrass operation, so its indication should be tailored according to the patient condition. Both techniques have low complication rates. Therefore, in order to find out what truly is the better technique, larger sample size may be needed to favor one technique over the other.

Keywords: Distal hypospadias; Snodgrass repair, Snodgraft repair, Meatal stenosis, urethrocutaneous fistula

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How to cite this article:

Wael Omar Zeina, Ahmed Medhat Zaki, Osama Abdel-Ellah Al-Najjar, Ehab Abd El Aziz El Shafei and Mohamed Abdel-Sattar Mohamed. 2021. Snodgraft Versus Snodgrass Repair of Primary Distal Hypospadias: A Comparative Study.Int.J.Curr.Microbiol.App.Sci. 10(5): 512-523. doi:
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