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Lessons learned using Snodgrass hypospadias repair.

K M O'Connor1, E A Kiely

  • 1Dept of Urology, Cork University Hospital. oconnorkevinm@eircom.net

Irish Journal of Medical Science
|April 18, 2006
PubMed
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The Snodgrass technique for distal hypospadias repair yields good cosmetic and functional outcomes. Modifications improved meatal stenosis rates, enhancing this common hypospadias surgery.

Area of Science:

  • Pediatric Urology
  • Surgical Techniques

Background:

  • Review of the Snodgrass technique for distal hypospadias repair.
  • Focus on lessons learned to improve surgical outcomes.

Purpose of the Study:

  • Evaluate the efficacy of the Snodgrass technique for distal hypospadias.
  • Identify factors influencing patient outcomes and complications.

Main Methods:

  • Retrospective review of patients undergoing Snodgrass hypospadias repair over four years.
  • Data collection via chart review and parental telephone interviews.
  • Assessment of voiding function, cosmetic results, and complication rates.

Main Results:

  • Study included 33 patients (children and adults) aged 7 months to 39 years.

Related Experiment Videos

  • 94% achieved a straight urinary stream; 97% reported satisfactory cosmetic outcomes.
  • Complications included urethral fistula (3.3%) and meatal stenosis (21%), with the latter requiring anesthesia.

    • Conclusions:

    • The Snodgrass urethroplasty demonstrates satisfactory functional and cosmetic results for distal hypospadias.
    • Technique modifications, including meatoplasty and parental meatal dilatation, reduced meatal stenosis rates.