DOI: 10.36347/sasjs.2022.v08i04.006

Pages: 216-220

Introduction: Hypospadias can be defined as a state in which the opening of the urethra is on the underside of the penis instead of at the tip. The specific cause of the hypospadiac penis is unknown but some factors such as endocrine & genetic factors are likely to be involved. The perimeatal based flap urethroplasty developed by Mathieu is commonly used for the correction of distal hypospadias. The pediatric urologist Warren Snodgrass described a newer procedure for distal hypospadias repair with a combination of incising the urethral plate & a meatal based flap with a low complication rate & better cosmetic outcome. A prospective comparative study was conducted to determine whether the Snodgrass or Mathieu urethroplasty is more appropriate for distal hypospadias in terms of complications, cosmesis of the meatus & glans. Aim of the study: This study aimed to determine whether the Snodgrass or Mathieu urethroplasty is more appropriate for distal hypospadias in terms of complications, cosmesis of the meatus & glans. Methods: This prospective study was conducted in the Department of Pediatric Surgery, Dhaka Shishu Hospital, Dhaka the period from 1 February 2002 to 30 "April 2003 for a total period of 15 months. A total number of 30 patients with distal penile hypospadias were selected for clinical study, of which 15 patients belong to group A (study group) treated surgically by SNODGRASS technique and another 15 patients belonging to group B (control group) surgically treated by MATHIEU technique. All these 30 patients were followed up for a minimum of 3 months and a maximum of up to 12 months (The average follow up was 7.5months). Urinary diversion in the form of urethral catheters was kept in position for 6-10 days. On the 4th to 6th post-operative day, the dressing was changed usually and details of the healing patterns and other findings were registered. Data were analyzed with SPSS-10 and MS Excel-16. Result: By comparing the surgical outcome of hypospadias .....