A New Management Protocol for Lowering the Rate of Distal Penile Hypospadias Fistula

Document Type : Original Article

Authors

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

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The Egyptian Journal of Plastic and Reconstructive Surgery
Volume 42, Issue 1
January 2018
Pages 171-176

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