Stent-free Thiersch-Duplay hypospadias repair with the Snodgrass modification

R. E. Steckler, M. R. Zaontz, W. C. Hulbert, S. G. Docimo, A. Agarwal, A. B. Retik, M. L. Ritchey, K. Weingartner, R. Rabinowitz, D. F M Thomas, P. Caione, H. Parkhouse, J. S. Wiener, L. S. Baskin, H. B. Lottman, W. T. Snodgrass

Research output: Contribution to journalArticle

Abstract

Purpose: Incision of the glanular urethral plate (the Snodgrass modification) permits tubularization of the neourethra in the Thiersch- Duplay fashion when anatomy would otherwise preclude a tension-free anastomosis and necessitate another operative technique for hypospadias repair. To take advantage of these cosmetic benefits without the potential morbidity associated with indwelling catheters, we performed a stent-free Thiersch-Duplay repair incorporating the Snodgrass modification. Materials and Methods: The Thiersch-Duplay hypospadias repair was combined with the Snodgrass modification. Hinging the urethral plate was necessary when the glanular groove was too shallow to perform a standard Thiersch-Duplay repair. Results: Stent-free repairs were performed in 33 children 0.47 to 2.86 years old (mean age plus or minus standard deviation 0.98 ± 0.47). Followup was obtained in 31 children. There was no postoperative urinary retention, fistulas or meatal stenosis. No unusual or prolonged discomfort distinguished these children from these who underwent a standard Thiersch-Duplay repair. Conclusions: Excellent cosmetic results can be anticipated irrespective of the preoperative glens configuration. Incision of the glanular urethral plate can be performed safely as an adjunct to a modified Thiersch-Duplay hypospadias repair without postoperative indwelling catheters.

Original languageEnglish
Pages (from-to)1178-1181
Number of pages4
JournalJournal of Urology
Volume158
Issue number3 SUPPL.
DOIs
Publication statusPublished - 1997

Keywords

  • Hypospadias
  • Penis
  • Urethra

ASJC Scopus subject areas

  • Urology

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    Steckler, R. E., Zaontz, M. R., Hulbert, W. C., Docimo, S. G., Agarwal, A., Retik, A. B., Ritchey, M. L., Weingartner, K., Rabinowitz, R., Thomas, D. F. M., Caione, P., Parkhouse, H., Wiener, J. S., Baskin, L. S., Lottman, H. B., & Snodgrass, W. T. (1997). Stent-free Thiersch-Duplay hypospadias repair with the Snodgrass modification. Journal of Urology, 158(3 SUPPL.), 1178-1181. https://doi.org/10.1016/S0022-5347(01)64417-3