Outcome of Snodgrass Repair for Various Types of Hypospadias: Our Experience

Hypospadias is the most common congenital malformation, affecting 1 in 200–300 newborn males. No single procedure is standard for all types of hypospadias. Our objective is to assess our skill and report our experience in terms of feasibility and result of Snodgrass repair for various types of hypospadias. We analyzed 97 cases of hypospadias with or without chordee with adequate urethral plate who underwent Snodgrass repair from 2009 to 2014 by single surgeon. Age ranges at the time of surgery from 18 months to 28 years. Common site was distal penile in 42 cases (40.74%) followed by mid-penile in 32 cases (31.04%). Twenty-five patients had clinically notable chordee. Technique involved incision of urethral plate up to mid-glans and continuous uninterrupted subcuticular suture technique with PDS for urethroplasty with use of various second layers as per need and availability. Overall complication rate was 7.76%. Overall success rate was 92.24%. Complications include meatal stenosis, superficial skin blackening, complete dehiscence, and hematoma one each, and four cases had urethrocutaneous fistula. Patients were cosmetically and functionally normal with maximum follow-up of 5 years. TIP is a novel and an attractive single-stage technique due to its adaptability, relative ease, and low complication rate for anterior hypospadias. Its use can be extended in mid- and proximal hypospadias where degloving only is sufficient for orthoplasty.