Snodgrass technique, Duckett repair and bladder mucosa grafting for hypospadias: an analysis of 251 cases.
- Author:
Li-Min MA
1
;
Hua JIANG
;
Juan ZHOU
;
Jun DA
;
Zhi-Kang CAI
;
Zhong WANG
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Child; Child, Preschool; Humans; Hypospadias; surgery; Infant; Male; Mucous Membrane; surgery; Reconstructive Surgical Procedures; methods; Retrospective Studies; Urinary Bladder; surgery
- From: National Journal of Andrology 2009;15(12):1068-1071
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo present the experience in using the Snodgrass technique, Duckett repair and bladder mucosa grafting for hypospadias.
METHODSWe retrospectively reviewed 251 cases of middle and posterior hypospadias treated by the Snodgrass technique, Duckett repair and bladder mucosa grafting from February 1997 to December 2008.
RESULTSThe success rates of the Snodgrass technique, Duckett repair and bladder mucosa grafting were 80.3% (53/66) , 76% (19/25) and 78.9% (15/19) for middle hypospadias and 68. 3% (41/60) , 63.6% (14/22) and 88. 1% (52/59) for the posterior type without statistical significant differences (all P > 0.05). Bladder mucosa grafting showed a significantly higher success rate than the other two procedures in either one-stage or two-stage surgical repair of posterior hypospadias (P < 0.05). Duckett repair achieved a significantly higher rate of success in children under 14 years than in the older ones (P < 0.05).
CONCLUSIONOf the three surgical options, bladder mucosa grafting is the most suitable for posterior hypospadias, and Duckett repair is recommended for children under 14 years of age.
