Standard Snodgrass urethroplasty versus Snodgrass with glans augmentation urethroplasty for distal hypospadias: A comparative study

Abstract

Abstract Introduction: Hypospadias is one of the most common congenital anomalies of the male genitourinary system. The Snodgrass urethroplasty is the most common worldwide accepted procedure for distal hypospadias. Various modifications have been made to reduce common complications, such as urethra-cutaneous fistula and meatal stenosis. In this study, we compare the results of hypospadias repair using the standard Snodgrass urethroplasty technique and Snodgrass urethroplasty with glans augmentation. Materials and Methods: This is a single institution series from January 2020 to January 2023. One hundred patients with distal hypospadias were included in the study. Out of these, 50 patients underwent the standard Snodgrass repair (Group 1), whereas another 50 patients underwent the Snodgrass urethroplasty with glans augmentation technique (Group 2). Results: The average follow-up period was 8 months. Four patients in Group 1 developed a fistula, and three had meatal stenosis (two were managed by meatal dilatations, and one with severe meatal stenosis was managed by meatotomy). In comparison, none of the patients in Group 2 developed a fistula, and only one developed meatal stenosis, which was managed by meatal dilatation. Partial skin necrosis was noted in three patients in Group 1 and two patients in Group 2. The final cosmetic appearance was acceptable. Conclusions: Snodgrass urethroplasty with glans augmentation is an effective procedure with a low complication rate and good cosmetic results.