Objective: To compare the results of Snodgrass repair with single versus double vascularizeddartos pedicle flap for neouretheral coverage. Patients and Methods: Fifty – eight pediatric patients with mean age 41.5 + 21 months and range from 9 to 96 months underwent primary hypospadias repair, 39 uncircumcised and 19 circumcised, classified into 2 groups according to coverage of the neourethra. Single layer coverage was performed in28 (48.3%) (Group 1) while double layers coverage was done in 30 (51.7%) cases (Group 2). Results: After mean follow up 8.6 + 5.4 months (from 3 to 24 months), good cosmetic results with vertical slit like meatus at the tip of conical shaped glanswere obtained in 53 cases (91.4%).Postoperative complications in five cases, 4/28 cases in group 1, urethrocutaneous fistula in two (7.1%),meatal stenosis in 1/28 (3.6%) and skin necrosis in 1/28(3.6%). Glanular dehiscence was found in 1/30 (3.3%) in group 2. No fistula was observed in group 2. Conclusion: The Snodgrass TIP repair in conjunction with double layer coverage of the neourethracould beconsidered the |
