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A boy with distal penile hypospadias - Snodgrass urethroplasty (also called Tubularised Incised Plate urethroplasty)
 
M.M. 7 months old boy was referred with complaints of abnormal looking penis and abnormal site of urinary opening. On examination, he had a condition called Distal Penile Hypospadias. He did not have any chordee (bending of penis)
 
He was planned for a corrective Hypospadias surgery called – SINGLE STAGE URETHROPLASTY.
This is the appropriate age (6-9 months) for such hypospadias repairs as the final results are very good both cosmetically and functionally at such a young age. The recommended age for hypospadias repair surgery by most pediatric urologists has gradually become less than 1 year.
The baby was taken up for distal hypospdias surgery called Snodgrass urethroplasty under Dr A.K.Singal's care. After hypospadias repair surgery, the child required only one day stay in the hospital. The dressing was removed on day 5 and the catheter on day10.
At 3 months follow-up he has a normal looking circumcised penis with a urethral opening at the top of the glands.
Clinical picture showing a distal penile hypospadias. Urethroplasty in progress with dartos flap being mobilized to cover the new urethra.
Completed Snodgrass urethroplasty with Special Silicon catheter for diaper drainage
Tegaderm dressing being applied at the
completion of surgery
Important points about Hypospadias
  • Hypospadias (also called hypospadia) is one of the most common anomalies worldwide and is the most common pediatric urology problem.
  • The correct age for repair of hypospadias is between 6-9 months.
  • Most of the hypospadias can be corrected with a single stage surgery, rarely if the penis is too curved (chordee) or the skin is short or there is an associated disorder of sex development, a two or a three stage hypospadias surgery may be required.
  • The success rate of Single Stage hypospdias repair in correctly chosen cases is more than 95%.
  • Most common post-op problems (5%) are infection and formation of a fistula requiring a second surgery.
 

 

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