PRIMARY AND REOPERATIVE HYPOSPADIAS REPAIR WITH THE SNODGRASS TECHNIQUE

This report documents our experience with primary and reoperative repa ir of anterior and middle hypospadias using the tubularized, incised p late (TIP) urethroplasty (Snodgrass technique) and provides a detailed description of the operative procedure. A total of 31 patients (27 pr imary: 3 reoperative) underwent TIP urethroplasty. The patients' age a t primary of reoperative hypospadias repair ranged from 5 months to 36 years. Excellent functional and cosmetic results were achieved in all but one patient, who developed an urethrocutaneous fistula. On the ba sis of our experience we feel that the Snodgrass TIP urethroplasty is a technique to be strongly considered for primary and reoperative repa ir of distal and, in some instances, midshaft hypospadias. Further exp erience is necessary to determine the applicability of this technique for repair of more proximal and complex hypospadias defects.