A Comparison of Snodgrass & Snodgraft Surgical Procedures for Treating Childhood Hypospadias | [Pakistan Journal of Plastic Surgery • 2025]

Author(s):

1. Muhammad Shadman: Burns and Plastic Surgery Center, Hayatabad, Peshawar, Pakistan

2. Muhammad Mudassir Mahbob: Burns and Plastic Surgery Center, Hayatabad, Peshawar, Pakistan

3. Irfan Ullah: Burns and Plastic Surgery Center, Hayatabad, Peshawar, Pakistan

4. Hussan Birkhez Shami: King Saud Medical City Riyadh

5. Mishkat Arbab: Institute of Medical Sciences, PIMS, Peshawar, Pakistan

6. Wajid Inam: Burns and Plastic Surgery, Northwest General Hospital and Research Center, Peshawar, Pakistan

Abstract:

Background: Hypospadias is a congenital condition characterized by an abnormally positioned external urethral meatus, on the underside of the penis. Surgical repair is the usual course of treatment and more than 300 different surgeries have been described snodgras and snodgraft are among the repair techniques that have stood the test of time. Methodology: This was a Randomized Controlled Trial conducted at the department of Plastic Surgery Department, Northwest General Hospital and Research Centre, Peshawar over a period of 06 months All hypospadias patients were enrolled in the outpatient department following patient consent. Nonprobability consecutive sampling was used. Cases were randomized into the following groups: the Snodgrass group and the Snodgraft group. The Incidence of postoperative fistula formation was compared between the two groups. Results: In Snodgrass (Control group), 20 (17.40%) patients developed postoperative fistula. In Snodgraft (Interventional group), 06 (5.021%) patients had the presence of a fistula. The difference was statistically significant in the 3-6 year age group (P<0.008); but not in the 7-10 year age group (P=0.064) Conclusion: In our study, Snodgraft repair was found to be significantly more effective than Snodgrass Repair.

Page(s): 30-10

DOI: 10.5455/pjps.1717504557

Published: Journal: Pakistan Journal of Plastic Surgery, Volume: 13, Issue: 26, Year: 2025

Keywords:

Urethrocutaneous fistula , Hypospadias , Snodgraft repair , Snodgrass repair , TIPS with dorsal inlay graft

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