Muhammad Shahzad Saleem, Mumtaz Rasool, Mudassar Saeed Pansota, Shafqat Ali Tabassum.
Comparative Study between Tubularized Incised Plate (Snodgrass) Urethroplasty and Reverse Flap (Mathieu’s) Repair in Distal Hypospadias.
Ann Pak Inst Med Sci Jan ;8(2):96-100.

Objectives: To compare results of Tubularized incised plate urethroplasty (Snodgrass) andMathieu’s repair in distal hypospadias repair. Study Design: Experimental Study. Place and Duration: Department of Urology and Renal Transplantation, Quaid-I-Azam MedicalCollege /Bahawal Victoria Hospital, Bahawalpur, from April 2008 to October 2010. Materials and Methods: A total of sixty four patients, 1.5 to 25 years of age were includedin the study. Patients of Distal Penile Hypospadias with significant chordae and history ofprevious surgery were excluded. Patients were divided in two groups, 32 patients in eachgroup. Group I had Tubularized Incised Plate Urethroplasty and Group II had Mathieu’srepair. Operative time was noted for both the procedures separately. Patients were followedfor subsequent outcome. Complications were noted as immediate post-operative (within 24hours), delayed post-operative (within 72 hours) and on follow up. Results: The mean duration of surgery was significantly lower for Tubularized incised plate urethroplasty as compared to Mathieu’s repair. Only two patients undergoing Tubularized Incised Plate Urethroplasty had complications as compared to seven patients undergoing Mathieu’s repair. Cosmetic results were excellent with Tubularized Incised Plate Urethroplasty with a normal slit like meatus and appearance of glans. Conclusion: The overall complication rate and operative time were significantly lower in Tubularized Incised Plate urethroplasty, which also had a better cosmetic outcome. Therefore we recommend this repair as a primary treatment for distal hypospadias.

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