CLASSIC SNODGRASS VERSUS INNER PREPUTIAL INLAY GRAFTER SNODGRASS IN DISTAL PENILE HYPOSPADIAS REPAIR

Objectives: To compare the operative time and complications following classic snodgrass versus inner preputial inlay grafter Snodgrass repair of primary distal hypospadias The study included 40 cases of distal Materials and methods: hypospadias that were admitted to the department of urology, Yenepoya medical college & hospital, mangalore . Cases were divided into 2 groups; Group I: The Snodgrass group (20 cases) and Group II: The Snodgraft group (20 cases). Results: The mean operative time was longer for patients in Group II than in Group I (75.47±9.25 minutes versus 50.07±7.28 minutes). Postoperative urethrocutaneous fistula occurred in one patient (5.0%) in each group. Meatal stenosis developed in 2 cases (10.0%) in Group I versus 1 case (5.0%) in Group II. There was no significant difference in the complication rate among both groups. Snodgraft operation is more technically challenging and Conclusions: requires longer operative time than the original Snodgrass operation, so its indication should be tailored according to the patient condition. Both techniques have low complication rates.