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 |
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Pages (from-to) | 1178-1181 |
Number of pages | 4 |
Journal | Journal of Urology |
Volume | 158 |
Issue number | 3 SUPPL. |
DOIs | |
Publication status | Published - 1997 |
Keywords
- Hypospadias
- Penis
- Urethra
ASJC Scopus subject areas
- Urology