Shafter, N., Saad El Deen, W., El Oteify, M. (2018). A New Management Protocol for Lowering the Rate of Distal Penile Hypospadias Fistula. The Egyptian Journal of Plastic and Reconstructive Surgery, 42(1), 171-176. doi: 10.21608/ejprs.2018.215084
Nabil Shafter; Wael Saad El Deen; Mahmoud El Oteify. "A New Management Protocol for Lowering the Rate of Distal Penile Hypospadias Fistula". The Egyptian Journal of Plastic and Reconstructive Surgery, 42, 1, 2018, 171-176. doi: 10.21608/ejprs.2018.215084
Shafter, N., Saad El Deen, W., El Oteify, M. (2018). 'A New Management Protocol for Lowering the Rate of Distal Penile Hypospadias Fistula', The Egyptian Journal of Plastic and Reconstructive Surgery, 42(1), pp. 171-176. doi: 10.21608/ejprs.2018.215084
Shafter, N., Saad El Deen, W., El Oteify, M. A New Management Protocol for Lowering the Rate of Distal Penile Hypospadias Fistula. The Egyptian Journal of Plastic and Reconstructive Surgery, 2018; 42(1): 171-176. doi: 10.21608/ejprs.2018.215084
A New Management Protocol for Lowering the Rate of Distal Penile Hypospadias Fistula
The Department of Plastic Surgery, Faculty of Medicine, Assiut University Hospitals, Assiut, Egypt
Abstract
Introduction: Hypospadias is a common congenital defect thought to be caused by incomplete fusion of the urethral folds, resulting in a proximally located urethral meatus anywhere from the glans to the perineum. Patients and Methods: Prospective study constitutes (n=65) patients with distal penile hypospadias was repaired by Snodgrass technique and modified Snodgrass technique between a period from (July 2013 to June 2015) to lowering the of fistula complication after hypospadias repair. The mean of age of Snodgrass group is 7.1±3.6 2 (to 17 years in ages) and 6±4.3 (2 to 23 years) in modified Snodgrass group. Results: Four patients (6.15%) had developed urethrocutaneous fistula from the total of cases, and fistula rate in modified Snodgrass group was better than Snodgrass group < br />as the follow: (n=2 patients 4%) in modified Snodgrass group < br />and (n=2 patients 13.3%) in Snodgrass group. Conclusion: The complications edema, infection, hemorrhage, catheter obstruction and fistula formation in modified Snodgrass group was less than Snodgrass group. Modified Snodgrass group is better than the S