Modified snodgrass hypospadias repair using the lembert suturing technique
Mohammed Jasim Alfeehan1, Yasir Naif Qassim2, Ahmed Khalaf Jasim3
1Department of Plastic and Reconstructive Surgery, College of Medicine, University of Anbar, Anbar, Iraq.
Urology Annals
|February 24, 2022
Summary
The Lembert suturing technique, a modification of the Snodgrass technique for hypospadias repair, effectively reduced urethrocutaneous fistula rates in boys. This surgical approach yielded favorable outcomes with minimal complications.
Area of Science:
- Pediatric Urology
- Surgical Innovation
- Reconstructive Surgery
Background:
- Hypospadias repair presents significant surgical challenges.
- The Snodgrass technique and its modifications offer promising functional and cosmetic results.
Purpose of the Study:
- To evaluate the Lembert suturing technique as a modification to the Snodgrass technique.
- To determine its effectiveness in reducing the rate of urethrocutaneous fistulas (UCF).
Main Methods:
- Fifty boys with mid-shaft and distal hypospadias underwent repair.
- The modified Snodgrass technique incorporated interrupted Lembert sutures for neourethroplasty.
- Exclusion criteria included prior failed surgeries or severe chordee.
Main Results:
- No urethrocutaneous fistulas (UCF) were observed in the study cohort.
- One patient experienced wound dehiscence due to infection.
- Two patients had mild meatal stenosis, and one had superficial skin sloughing.
Conclusions:
- The modified Snodgrass technique using Lembert sutures is effective in hypospadias repair.
- This method demonstrates a low rate of urethrocutaneous fistulas.
- The technique offers a safe and viable option for pediatric hypospadias surgery.
