2001
DOI: 10.1046/j.1464-410x.2001.00089.x
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Re‐operative hypospadias repair using the Snodgrass incised plate urethroplasty

Abstract: Objective To retrospectively assess the results of tubularized incised plate (Snodgrass) urethroplasty in a series of re-operative hypospadias repairs in children. Patients and methods The study comprised a follow-up (from 1996 until 2000) of 13 patients (mean age 7.5 years, range 13 months to 27 years) who had at least one previous hypospadias repair and who then underwent a reconstruction using the Snodgrass repair. In all cases the urethroplasty was covered with an additional layer of subcutaneous tissue. T… Show more

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Cited by 87 publications
(63 citation statements)
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“…If we ignore circumcised patients (non re-operated hypospadias), results would be similar to Snodgrass and Lorenzo (3) who reported the usage of TIP urethroplasty to repair proximal hypospadias (33%). Although their cases were proximal, complications in re-operation (2) were 3 in 15 (20%), and is similar to those reported by Shanberg et al (6), and Borer et al (9) 24%, 15%, respectively. It is very important to note that in only one patient of our series, re-operation was necessary while others were cured by dilatation; this indicates that the ultimate success rate without another operation was 92.4%.…”
Section: Commentssupporting
confidence: 86%
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“…If we ignore circumcised patients (non re-operated hypospadias), results would be similar to Snodgrass and Lorenzo (3) who reported the usage of TIP urethroplasty to repair proximal hypospadias (33%). Although their cases were proximal, complications in re-operation (2) were 3 in 15 (20%), and is similar to those reported by Shanberg et al (6), and Borer et al (9) 24%, 15%, respectively. It is very important to note that in only one patient of our series, re-operation was necessary while others were cured by dilatation; this indicates that the ultimate success rate without another operation was 92.4%.…”
Section: Commentssupporting
confidence: 86%
“…Shanberg et al (6) described the creation of a dartos flap from subcoronal shaft skin and reported only one fistula among their 13 patients. Çakan et al (10) reported TIP urethroplasty, in 37 re-operative patients with a success rate of 78.4%.…”
Section: Commentsmentioning
confidence: 99%
“…Incision and tubularization of the urethral plate was possible despite previous surgery involving the midline of the plate in half the patients. Indeed, the complication rate of three in 15 is similar to those reported previously [2,3], of 24% and 15%, respectively, even though those series had few patients with previous plate incision. These favourable outcomes may be predicted by clinical observations [4] and animal studies [5±8], that consistently ®nd incision into the dorsal midline of the urethral plate heals with no signi®cant gross or microscopic ®brosis.…”
Section: Discussionsupporting
confidence: 86%
“…Borer et al [2] noted that four of the ®ve boys who developed ®stulae in their series had no barrier layer interposed over the urethra, and recommended mobilization of a dartos or tunica vaginalis¯ap to reduce the incidence. Shanberg et al [3] described the creation of a dartos¯ap from subcoronal shaft skin and reported only one ®stula among their 13 patients. In the present series dartos was used from several locations, but that the ®stulae occurred when adjacent tissues were sutured over the neourethra probably illustrates the need for a¯ap to be developed which can be secured over the urethra by laterally based sutures; otherwise sutures from the neourethra, barrier layer and skin closures may overlap.…”
Section: Discussionmentioning
confidence: 99%
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