Snodgrass (Tubularized Incised Plate) Urethroplasty better then Mathieu’s Flip Flap and Onlay Flap for Hypospadias with Intact Urethral Plate?
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 5
Abstract
Introduction: Hypospadias is a congenital anomaly, for which number of procedures had been described. We compared Mathieu’s flip flap, Onlay transverse preputial flap urethroplasties with Tubularized incised plate urethroplasty (TIP) as described by Snodgrass. This had been reported with the better results of meatal cosmesis and lesser complication rates. Methods: These three procedures were done in patients, who had coronal, subcoronal, distal penile hypospadias, mid penile and proximal penile hypospadias in which urethral plate was not removed for the chordee correction. Following points were assessed. Meatal stenosis, Urethrocutaneous Fistula, Penile edema, Glanuar dehiscence ,Wound dehiscence Results: Total 74 boys with mean age 6.22 years ± 4.26 were included in this study Mathieu’s urethroplasty (n=14), Onlay (n= 23) and Snodgrass TIP urethroplasty (n=37) . Meatal stenosis occur in one patient each in Mathieu’s and Onlay procedure as compared to Snodgrass TIP (n= 7) out of which 6 patients improved later on, with meatal dilatation. 15 patients developed fistula in TIP repair as compare to total 12 patients in Mathieu’s and Onlay procedure. Five patients had dehiscence of glans in Mathieu, and Onlay procedure as compared to Snodgrass procedure in which none of the patients had glans dehiscence and it is statistically significant (P < 0.05). Overall complication rate came out to be 24.3 % in TIP procedure as compare to 32.4% in Mathieu’s and Onlay procedure in combined. It was found that chances of improvement in TIP were higher by 48.33%. Conclusion: It is concluded that TIP is as good as Mathieu’s and Onlay procedure with slight advantage of its use in reoperative surgery and cosmetic look and high chances of improvement in TIP.
Authors and Affiliations
Dr Ravikant Mahant
Keywords
Related Articles
- EP ID EP515572
- DOI -
- Views 52
- Downloads 0
A Delta Beta Thalessemia Female with Autoimmune Hemolytic Anemia due to Epstein Barr Virus: A Case Report
A number of extrinsic agents and disorders may lead to premature destruction of red blood cells. Among the most clearly defined are antibodies associated with immune hemolytic anemias.(1) The hallmark of this group of di...
Oestrus Ovis External Ophthalmomyiasis Mimicking Acute Conjunctivitis
Oestrus ovis is the most common cause of human Ophthalmomyiasis. In this study, we present a case of external ophthalmomyiasis caused by Oestrus ovis in a 10 year old rural boy following a fly hit on the right eye. Caref...
Comparative Evaluation of CT Enterography and MR Enterography in Evaluation of Small Bowel Pathologies
Aims and objectives: 1) To study the role of CT Enterography and MR Enterography in diagnosing various small bowel diseases.2 )To compare the diagnostic significance of CT Enterography with MR Enterography 3)To evaluate...
Morphometric Study of Ulnar Styloid Process and its Clinical Implication
The lower end of ulna contributes to the formation of joint through intervening triangular disc and it is of great anatomical and physiological significance for normal hand functioning. Lower end of ulna consist of head,...
Utility of Transient elastography of liver in patients with Rheumatoid arthritis on methotrexate
Background: Methotrexate is an anchor drug in the treatment of Rheumatoid arthritis. But it can cause liver toxicity on long term treatment. Liver enzymes are conventionally monitored to detect the liver toxicity. Transi...