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93050

Comparative Study between Mathieu Repair and Snodgrass Repair in Distal Hypospadias

Article

Last updated: 04 Jan 2025

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Subjects

-

Tags

Surgery

Abstract

Background: Hypospadias is a congenital condition characterized by tissue hypoplasia of the ventral aspect of the penis, with incidence of one in 300 males [0.3%]. There is an increase incidence in those with first-degree relatives having hypospadias to about 13 times more than those without family history. 
Aim of the work: To compare between the meatal-based flap "Mathieu" technique and tubularized incised plate [TIP] "Snodgrass urethroplasty in treatment of distal hypospadias.
Patients and Methods:This study was carried out at the Department of Surgery, Al-Azhar university hospital [Damietta], Egypt., The study consists of forty male children, suffering from distal penile hypospadias. Patients were blindly assigned into two groups;20 patients underwent Mathieu technique and another 20 patients underwent "Snodgrass urethroplasty".
Results: Both groups were comparable regarding patient age, consanguinity, maternal drug intake, urethral plate characteristics and duration of hospital study. However, Snodgrass urethroplasty is associated with significant increase of operative time [80.0±16.1 vs 60.0±9.6 minutes], significant lower complication rate [10% vs 30.0%], significantly good cosmetic appearance of the penis [100% excellent versus 40% excellent, 40% good, and 20% torsion of the shaft] and 100% slit like and vertically oriented meatus.
Conclusion: Snodgrass and modified Mathieu repair are safe, and the choice of one of the techniques will depend on the surgeon's decision. Its procedure had its own advantages and disadvantages and final decision should be attributed to surgeon preferences. 

DOI

10.21608/ijma.2020.26016.1109

Keywords

Snodgrass, urethroplasty, Mathieu, hypospadias, congenital

Authors

First Name

Ahmad

Last Name

Hassouna

MiddleName

Alaa eldeen

Affiliation

Department of General Surgery, Damietta General Hospital, Ministry of Health, Egypt

Email

drahmadalaa6@gmail.com

City

New Damietta

Orcid

-

First Name

Abdo

Last Name

Arnous

MiddleName

Abdo

Affiliation

Department of Pediatric Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt.

Email

abdoarnous@domazhermedicine.edu.eg

City

Damietta

Orcid

-

First Name

Esam

Last Name

Taman

MiddleName

Ali

Affiliation

Department of Plastic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

ett.taman@domazhermedicine.edu.eg

City

Damietta

Orcid

-

First Name

Ibrahim

Last Name

Elsayaad

MiddleName

Mahmoud

Affiliation

Department of Peidatric Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt.

Email

dr.elsayaad@outlook.com

City

Damietta

Orcid

0000-0002-0881-5744

Volume

2

Article Issue

3

Related Issue

16043

Issue Date

2020-07-01

Receive Date

2020-03-16

Publish Date

2020-07-01

Page Start

508

Page End

518

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 2_Issue 3_Pages 508-518.pdf

PDF . 858.7kB

Link

https://ijma.journals.ekb.eg/article_93050.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=93050

Order

4

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Comparative Study between Mathieu Repair and Snodgrass Repair in Distal Hypospadias

Details

Type

Article

Created At

22 Jan 2023