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 language | English |
|---|---|
| Pages (from-to) | 1178-1181 |
| Number of pages | 4 |
| Journal | Journal of Urology |
| Volume | 158 |
| Issue number | 3 SUPPL. |
| DOIs | |
| Publication status | Published - 1997 |
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Keywords
- Hypospadias
- Penis
- Urethra
ASJC Scopus subject areas
- Urology
Cite this
Stent-free Thiersch-Duplay hypospadias repair with the Snodgrass modification. / 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.
In: Journal of Urology, Vol. 158, No. 3 SUPPL., 1997, p. 1178-1181.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Stent-free Thiersch-Duplay hypospadias repair with the Snodgrass modification
AU - Steckler, R. E.
AU - Zaontz, M. R.
AU - Hulbert, W. C.
AU - Docimo, S. G.
AU - Agarwal, A.
AU - Retik, A. B.
AU - Ritchey, M. L.
AU - Weingartner, K.
AU - Rabinowitz, R.
AU - Thomas, D. F M
AU - Caione, P.
AU - Parkhouse, H.
AU - Wiener, J. S.
AU - Baskin, L. S.
AU - Lottman, H. B.
AU - Snodgrass, W. T.
PY - 1997
Y1 - 1997
N2 - 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.
AB - 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.
KW - Hypospadias
KW - Penis
KW - Urethra
UR - http://www.scopus.com/inward/record.url?scp=0030789306&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0030789306&partnerID=8YFLogxK
U2 - 10.1016/S0022-5347(01)64417-3
DO - 10.1016/S0022-5347(01)64417-3
M3 - Article
VL - 158
SP - 1178
EP - 1181
JO - Journal of Urology
JF - Journal of Urology
SN - 0022-5347
IS - 3 SUPPL.
ER -