Modified Snodgrass technique for hypospadias.
- Author:
Fei-Wu SONG
1
;
Du-Miao LI
2
;
Ya-Li XU
2
;
He HUANG
2
;
Xing-He CHEN
2
Author Information
1. School of Medicine, Meizhouwan College of Vocational Technology, Putian, Fujian 351254, China.
2. Department of Pediatric Surgery, The First Hospital of Fujian Medical University, Fuzhou, Fujian 350005, China.
- Publication Type:Journal Article
- Keywords:
hypospadias;
urethral stricture;
urinary fistula;
modified Snodgrass technique
- MeSH:
Child;
Humans;
Hypospadias;
surgery;
Incidence;
Infant;
Male;
Postoperative Complications;
epidemiology;
prevention & control;
Retrospective Studies;
Surgical Wound Infection;
epidemiology;
Suture Techniques;
Urethra;
surgery;
Urethral Stricture;
epidemiology;
Urinary Fistula;
prevention & control
- From:
National Journal of Andrology
2017;23(10):908-911
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect of modified Snodgrass surgical technique in the treatment of hypospadias.
METHODS:We retrospectively analyzed the clinical data about 212 cases of hypospadias treated by urethroplasty from January 2008 to October 2016, 94 with the modified Snodgrass technique, namely with a silk line in addition to the urethral suture to make easier postoperative removal of the suture (group A), and the other 118 with the conventional Snodgrass technique (group B). The urethral suture was removed at 10 days after surgery for the patients in group A. We compared the success rate of surgery and incidence of postoperative complications between the two groups.
RESULTS:Compared with group B, group A showed a significantly higher success rate of surgery (81.36% vs 91.49%, P <0.05) but lower incidence rates of postoperative incisional infection (12.71% vs 4.26%, P <0.05) and urinary fistula (16.10% vs 6.38%, P <0.05). No statistically significant difference was found in the incidence of urethral stenosis between the two groups (2.54% vs 2.13%, P >0.05).
CONCLUSIONS:The modified Snodgrass technique can improve the success rate of surgery and reduce the incidence rates of incisional infection and urinary fistula, which deserves wide clinical application.
