National Academy of Agricultural Sciences (NAAS)
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PRINT ISSN : 2319-7692
Online ISSN : 2319-7706 Issues : 12 per year Publisher : Excellent Publishers Email : editorijcmas@gmail.com / submit@ijcmas.com Editor-in-chief: Dr.M.Prakash Index Copernicus ICV 2018: 95.39 NAAS RATING 2020: 5.38 |
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.
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