WORLD JOURNAL OF PLASTIC SURGERY
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Volume 11, Issue 1 (2022)
WJPS 2022, 11(1): 38-43 |
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Peyvasteh M, Askarpour S, Mohamadi A, Ilkhani Pak H. Evaluation of Complications and Effectiveness of Snodgraft Method on the Treatment of Distal Hypospadias or Midshaft. WJPS 2022; 11 (1) :38-43
URL: http://wjps.ir/article-1-894-en.html
URL: http://wjps.ir/article-1-894-en.html
1- Department of Surgery, Ahvaz Jundishapur, University of Medical Sciences, Ahvaz, Iran
2- Department of Surgery, Ahvaz Jundishapur, University of Medical Sciences, Ahvaz, Iran , Ilkhanipakhoda@gmail.com
2- Department of Surgery, Ahvaz Jundishapur, University of Medical Sciences, Ahvaz, Iran , Ilkhanipakhoda@gmail.com
Abstract: (1843 Views)
Objective: Hypospadias is one of the most common diseases of the male reproductive system. Considering the different treatment techniques for this anomaly and important complications such as fistula, meatal/neourethral stenosis, an attempt is made to use a method that has the best result and the least complication for treatment. The aim of this study was to evaluate the snodgraft method in repairing distal or midshaft hypospadias in terms of complications, beauty and effectiveness.
Methods: In this retrospective study, conducted Oct 2018 to Oct 2020, 60 boys with distal hypospadias or midshaft who underwent the methods of Snodgraft in Imam Khomeini and Abuzar Hospitals of Ahvaz, southern Iran were enrolled. All patients were followed up and examined for postoperative complications after surgery with intervals of 1 week, 2 weeks, monthly to 6 months and then annually.
Results: The mean age of patients was 30.1±11.3 months. No surgical diverticulitis or meatal stenosis was seen after surgery. Urethrocutaneous fistula was seen in 4 patients at initial follow-up, of these 4 patients, 1 spontaneous improvement was seen after 6 months. Urinary status was normal in all patients. Bleeding, hematoma and meatus stenosis were not observed in patients. In all patients, the appearance of meatus was very good and similar to normal people.
Conclusion: The snodgraft surgery method in repairing hypospadias is a very simple, appropriate method and with a good appearance of Glans and Meatus, and the complications of this technique are few and acceptable. To confirm our findings, prospective studies with larger sample size of patients are needed.
Methods: In this retrospective study, conducted Oct 2018 to Oct 2020, 60 boys with distal hypospadias or midshaft who underwent the methods of Snodgraft in Imam Khomeini and Abuzar Hospitals of Ahvaz, southern Iran were enrolled. All patients were followed up and examined for postoperative complications after surgery with intervals of 1 week, 2 weeks, monthly to 6 months and then annually.
Results: The mean age of patients was 30.1±11.3 months. No surgical diverticulitis or meatal stenosis was seen after surgery. Urethrocutaneous fistula was seen in 4 patients at initial follow-up, of these 4 patients, 1 spontaneous improvement was seen after 6 months. Urinary status was normal in all patients. Bleeding, hematoma and meatus stenosis were not observed in patients. In all patients, the appearance of meatus was very good and similar to normal people.
Conclusion: The snodgraft surgery method in repairing hypospadias is a very simple, appropriate method and with a good appearance of Glans and Meatus, and the complications of this technique are few and acceptable. To confirm our findings, prospective studies with larger sample size of patients are needed.
References
1. Almusafer M, Mezban SG, Faisal M. The outcome of double dartos versus single layer flap in snodgrass urethroplasty for distal hypospa-dias repair in basra training center of urology. Basrah Journal of Surgery 2021;27(2):2.
2. Van der Zanden L, Van Rooij I, Feitz W, Franke B, Knoers N, Roeleveld N. Aetiology of hypospadias: a systematic review of genes and environment. Hum Reprod Update 2012;18(3):260-83.
3. Pramod S, Anukethan J. Short term outcomes of snodgrass urethroplasty in distal and mid penile hypospadias. Int Surg J 2018;5(5):1878-81.
4. Sheikh MA, Latif T, Ahmad JAM. Hypospadias repair in children: 10-years experience at shaikh zayed hospital lahore. The Professional Medical Journal 2019;26(07):1020-6.
5. Zain AZ. Snodgrass urethroplasty for mid and distal penile hypospadias. Iraqi J Med Sci 2017;15(3).
6. Askarpour S, Peyvasteh M, Mohamadi A, Khoshkhabar M. Comparative Study of Modifying Meatal Advancement Glandular with Release Chordi versus Snodgrass Surgical Methods Regarding the Repair of Distal Hypospadias. World J Plastic Surg 2021;10(3):73.
7. Silay MS, Sirin H, Tepeler A, et al. “Snodgraft” technique for the treatment of primary distal hypospadias: pushing the envelope. J Urol 2012;188(3):938-42.
8. Holland A, Smith G. Effect of the depth and width of the urethral plate on tubularized incised plate urethroplasty. J Urol 2000;164(2):489-91.
9. Wilkinson DJ, Farrelly P, Kenny SE. Outcomes in distal hypospadias: a systematic review of the Mathieu and tubularized incised plate repairs. J Pediatr Urol 2012;8(3):307-12.
10. Bakan V, Yildiz A. Dorsal double-layer dartos flap for preventing fistulae formation in the Snodgrass technique. Urol Int 2007;78(3):241-4.
11. Eldeeb M, Nagla S, Abou-Farha M, Hassan A. Snodgrass vs Snodgraft operation to repair the distal hypospadias in the narrow urethral plate. J Pediatr Urol 2020;16(2):165. e1-. e8.
12. Gundeti M, Queteishat A, Desai D, Cuckow P. Use of an inner preputial free graft to extend the indications of Snodgrass hypospadias repair (Snodgraft). J Pediatr Urol 2005;1(6):395-6.
13. Kolon Tf, Gonzales Et. The dorsal inlay graft for hypospadias repair. J Urol 2000;163(6):1941-3.
14. Leunbach TL, Springer A, Williamson PR, Ahmed SF. A systematic review of core outcomes for hypospadias surgery. Sex Dev 2019;13(4):165-70.
15. Yu X, Nassar N, Mastroiacovo P, et al. Hypospadias prevalence and trends in international birth defect surveillance systems, 1980–2010. Eur Urol 2019;76(4):482-90.
16. Snodgrass WT, Nguyen MT. Current technique of tubularized incised plate hypospadias repair. Urology 2002;60(1):157-62.
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