The aim of this study was to present single author experience with the technique of tubularized incise plate urethroplasty [Snodgrass operation] in the management of different types of hypospadias.
Two hundred eighty seven  patients were operated upon between February 1998 and March 2001 in the Pediatric Surgical Center, University of Alexandria. Two hundred twenty one cases had distal hypospadias, 41 cases had proximal penile, 15 of them had skin chordee, and 25 cases had previous tailed repair. The technique used was that originally described by Snodgrass with our modification in the shape of incision. The results showed that the urethral size was equal to or greater than 8 Fr in 275 patients [95.8%] . Fistula occurred in 31 cases 10.8% The final cosmetic result was considered excellent in 81% of cases, satisfactory in 14% and unaccepted in 5% Conclusion: We believe that the Snodgrass operation can be applied to a wide range of defects from distal to most severe perineal hypospadias. it creates a functional urethra of uniform caliber with a vertical slit-Iike meatus at the tip of the glans. The most common complication of urethral fistula occurs at an acceptably low rate and is much easier to handle than urethral stricture
Sameh Shehata ,Sameh Shehata ,
Hypospadias repair using the snodgrass technique: the Alexandria experience,
Alex. J. Pediatr. 2003;
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