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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9518.22

Abstract

Background: Hypospadias is the commonest congenital anomaly of the male urethra that occur in every 300-400 live male births. It involves an abnormally placed urinary meatus anywhere along the urethral groove running from the tip along the ventral aspect of the shaft of penis to the junction of the penis and scrotum  or perineum. Single stage repair with TIP technique has become the procedure of choice with its versality in repairing almost all types of hypospadias with satisfactory cosmetic and functional results. Materials and Methods: This is a prospective study carried out at Dhiraj hospital, Piparia, Vadodara, from March 2017 to April 2018. Twenty five male patients selected from those who presented to pediatrics or surgery OPD underwent different techniques of single stage repair of hypospadias. Follow-up was done up to one year. Conclusions: In conclusion, the present study reveals that patients with Snodgrass repair obtained a neourethra with a slit-like meatus at the tip of the glans. It provides satisfactory cosmetic and functional results and is versatile in repairing almost all types of distal and proximal hypospadias and has become the procedure of choice. High rates of fistula and meatal stenosis initially encountered have improved with modifications to technique with regular follow up and dilatation. One stage repair of Hypospadias is better because of time, money, hospitalization can be saved. 

Keywords: Hypospadias; TIP-Repair; Snodgrass Technique; Stricture; Fistula. 

Corresponding Author : Honeypalsinh H. Maharaul, Assistant Professor, Department of Surgery, Smt. B.K. Shah Medical Institute and Research Center, Sumandeep Vidyapeeth, Vadodara, Gujarat 391760, India