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Primary Distal Hypospadias Repair: Tubularized incised-plate urethroplasty (Snodgrass) Versus The perimeatal-based flap (Mathieu) | ||
| IRAQI JOURNALOF COMMUNITY MEDICINE | ||
| Article 1, Volume 23, Issue 1, 2010, Pages 55-58 | ||
| Authors | ||
| Bilal Hamid Abdul-Ghafoor; Hussain Malik Al-Dabbagh | ||
| Abstract | ||
| Background: A Prospective study of distal hypospadias repair by Snodgrass procedure.Comparing with the Mathieu`s repair. Materials & Methods: Between January 2006 to June 2008 ,fifty patients with distal hypospadias underwent primary repair in prospective controlled randomized trial.To determine whether the tubularized incised_plate repair or the perimeatal_based flap technique is more appropriate for the repair of distal hyposoadias, a comparative study was conducted and the outcome was evaluated in the term of satisfactory functional and cosmetic results and occurance of complications and the operating time . Results: Twenty five patients were allocated for a Snodgrass procedure; their mean age was 2 years. Mathieu repair was carried out for the other 25 patients; their mean age was 2.5 years. The mean duration for surgery was shorter for the Snodgrass procedure than Mathieu repair(60 minutes versus 100 minutes). The cosmetic and functional results were better in the Snodgrass repair where the meatus was located at the tip of the glans and vertically oriented in most patients. With Mathieu procedure the meatus was round in shape and horizontally oriented. Four of patients(16%) who underwent Mathieu repair had uretherocutaneus fistulae versus one(4%) in the Snodgrass group. Conclusion: the tubularized incised_plate repair(Snodgrass) technique offers a safe and reliable modality for the primary repair of distal penile hypospadia. Compared to perimeatal_based flap technique(Mathieu procedure) . Keywords: Distal hypospadius, Snodgrass procedure, Matheiu`s procedure, Tubularized Incised-Plate urethroplasty(TIP-Urethroplasty) | ||
| Keywords | ||
| Distal hypospadius; Snodgrass procedure; Matheiu; Tubularized Incised; Plate urethroplasty; urethroplasty | ||
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