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Management Of Anterior Hypospadias, Our Experience With Snodgrass Repair Technique Mardan Medical Complex Mardan Teaching Hospital

Abstract



OBJECTIVE: To report on the short-term outcomes of anterior hypospadias tabularized incised plate urethroplasty,as reported by Snodgrass.
MATERIAL AND METHODS: From January 2014 to December 2016, patients with anterior hypopadias
without chordae were the subjects of this research, which took place at the Mardan Medical Complex surgical department in Mardan. The research had 56 patients ages 3 to 13 years, with a mean age of 5.1. Anterior distal shaft hypospadias with a healthy urethral plate was an inclusion criterion, while chordae and a history of prior surgery were exclusion criteria. A new urethra was created around a size 6 to 8 Fr stent after the full length of the urethral plate was cut along the midline. Subdartos fascia covered the newly formed urethra. In every instance, sufratullae were used for pressure dressing.
RESULTS: During the investigation, there were three complications: six cases (10.7%) of urethrocutaneous fistula development, four cases (7.1%) of meatal stenosis, and two cases (3.5%) of glandular dehiscence. In our research, the overall rate of problems was 21.42%.
CONCLUSIONS: For anterior hypospadias, the Snodgrass treatment has outstanding functional and esthetic
outcomes. Comparing this operation to others, the incidence of complications is modest.

Muhammad Hussain

Department of Surgery, Bacha Khan Medical College, Mardan, Pakistan

Mukhtiar Ali

Department of Surgery, Bacha Khan Medical College, Mardan, Pakistan

Adnan Badar

Department of Anatomy, Bacha Khan Medical College, Mardan, Pakistan

Prof. Muhammad Hussain

Department of Surgery, Bacha Khan Medical College, Mardan, Pakistan

Email: mhussaindr@hotmail.com

Mobile: 0300-5923813