A Comparison of Snodgrass & Snodgraft Surgical Procedures For Treating Childhood Hypospadias

Background: Hypospadias is a congenital condition characterized by an abnormally positioned external
urethral meatus, on the underside of the penis. Surgical repair is the usual course of treatment and more than
300 different surgeries have been described snodgras and snodgraft are among the repair techniques that have
stood the test of time.
Methodology: This was a Randomized Controlled Trial conducted at the department of Plastic Surgery
Department, Northwest General Hospital and Research Centre, Peshawar over a period of 06 months All
hypospadias patients were enrolled in the outpatient department following patient consent. Nonprobability
consecutive sampling was used. Cases were randomized into the following groups: the Snodgrass group and
the Snodgraft group. The Incidence of postoperative fistula formation was compared between the two
groups.
Results: In Snodgrass (Control group), 20 (17.40%) patients developed postoperative fistula. In Snodgraft
(Interventional group), 06 (5.021%) patients had the presence of a fistula. The difference was statistically
significant in the 3-6 year age group (P<0.008); but not in the 7-10 year age group (P=0.064)
Conclusion: In our study, Snodgraft repair was found to be significantly more effective than Snodgrass
Repair.
Received | 04-06-2024 Revision | 25-07-2024 Accepted | 29-07-2024
CorrespondingAuthor | Dr.MuhammadMudassir Mahbob, Burns and Plastic Surgery Center, Hayatabad, Peshawar
Email: dr.mudassir@yahoo.com
Keywords | Hypospadias, Urethrocutaneous Fistula, Snodgrass repair, Snodgraft repair, TIPS with dorsal inlay graft.
Pak J Plas Surg

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