Background: Hypospadias is a congenital condition characterized by tissue hypoplasia of the ventral aspect of the penis, with incidence of one in 300 males [0.3%]. There is an increase incidence in those with first-degree relatives having hypospadias to about 13 times more than those without family history. Aim of the work:To compare between the meatal-based flap "Mathieu" technique and tubularized incised plate [TIP] "Snodgrass urethroplasty in treatment of distal hypospadias.Patients and Methods: This study was carried out at the Department of Surgery, Al-Azhar university hospital [Damietta],Egypt., The study consists of forty male children, suffering from distal penile hypospadias. Patients were blindly assigned into two groups;20 patients underwent Mathieu technique and another 20 patients underwent "Snodgrass urethroplasty".Results: Both groups were comparable regarding patient age, consanguinity, maternal drug intake, urethral plate characteristics and duration of hospital study. However, Snodgrass urethroplasty is associated with significant increase of operative time [80.0±16.1 vs 60.0±9.6 minutes], significant lower complication rate [10% vs 30.0%], significantly good cosmetic appearance of the penis [100% excellent versus 40% excellent, 40% good, and 20% torsion of the shaft] and 100% slit like and vertically oriented meatus. Conclusion:Snodgrass and modified Mathieu repair are safe, and the choice of one of the techniques will depend on the surgeon's decision. Its procedure had its own advantages and disadvantages and final decision should be attributed to surgeon preferences.

Background: Congenital curvature of the penis results from abnormal efflorescence of the tunica albuginea of the corpora cavernosa and not accompanied with urethral anomaly. Complex Congenital curvature of the penis has two abnormal elements: mal-rotation either clockwise or anti clockwise and curvature of the penis either dorsal or ventral. Aim of the work:To present update in management of congenital curvature complex of the penis.

Background: Veins have one-way valves that prevent blood from backing up into the legs when we stand or sit. When the valves become incompetent [or begin to have reflux], blood pools and causes an increase in pressure in the leg veins. Leg veins become enlarged and twisted. Aim of the work: The aim of the current study was to evaluate safety and efficacy of ultrasound guided foam sclerotherapy for the treatment of primary varicose vein. Patients and methods: The current trial is a prospective observational cohort study. It had been carried out at Al-Azhar University Hospital [New Damietta], Egypt. It included Fifty patients who had great saphenous vein [GSV] reflux associated with saphenofemoral junction [SFJ] incompetence. They had been offered foam sclerotherapy as an alternative to standard surgical treatment or conservative management. The duration of the study extended between November 2019 to January 2020. Results: results revealed that post intervention; duplex assessment revealed a radiologic success with complete obliteration of GSV and collaterals in 40 patients [80%]. six patients [12%] underwent direct re-injection for further one or two injection sessions over the following two weeks until complete occlusion of GSV and collaterals was obtained. Conclusion: Foam sclerotherapy is effective & safe in treatment of primary varicose veins.