Lessons learned using Snodgrass hypospadias repair.

Hdl Handle:
http://hdl.handle.net/10147/208850
Title:
Lessons learned using Snodgrass hypospadias repair.
Authors:
O'Connor, K M; Kiely, E A
Affiliation:
Dept of Urology, Cork University Hospital. oconnorkevinm@eircom.net
Citation:
Ir J Med Sci. 2006 Jan-Mar;175(1):37-9.
Journal:
Irish journal of medical science
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/208850
PubMed ID:
16615227
Abstract:
BACKGROUND: This is a review of our experience with the Snodgrass technique for distal hypospadias repair and we point to lessons learned in improving results. METHODS: We reviewed all patients who underwent Snodgrass hypospadias repair for distal hypospadias over a four-year period by a single surgeon. Chart review followed by parental telephone interview was used to determine voiding function, cosmesis and complication rate. RESULTS: Thirty children and three adults were identified. Age at surgery ranged from seven months to 39 years. The urinary stream was straight in 94%, and 97% reported a good or satisfactory final cosmetic outcome. One patient (3.3%) developed a urethral fistula and 21% developed meatal stenosis which required general anaesthetic. CONCLUSION: The Snodgrass urethroplasty provides satisfactory cosmetic and functional results. High rates of meatal stenosis initially encountered have improved with modifications to technique which include modified meatoplasty and routine meatal dilatation by the parents.
Language:
eng
MeSH:
Adolescent; Adult; Child; Child, Preschool; Cutaneous Fistula/prevention & control; Humans; Hypospadias/*surgery; Infant; Ireland; Male; Parents/psychology; Patient Satisfaction; Suture Techniques; Time Factors; Urethra/*surgery; Urethral Diseases/prevention & control; Urethral Stricture/prevention & control; Urinary Fistula/prevention & control; Urologic Surgical Procedures, Male
ISSN:
0021-1265 (Print); 0021-1265 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorO'Connor, K Men_GB
dc.contributor.authorKiely, E Aen_GB
dc.date.accessioned2012-02-03T15:05:24Z-
dc.date.available2012-02-03T15:05:24Z-
dc.date.issued2012-02-03T15:05:24Z-
dc.identifier.citationIr J Med Sci. 2006 Jan-Mar;175(1):37-9.en_GB
dc.identifier.issn0021-1265 (Print)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid16615227en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208850-
dc.description.abstractBACKGROUND: This is a review of our experience with the Snodgrass technique for distal hypospadias repair and we point to lessons learned in improving results. METHODS: We reviewed all patients who underwent Snodgrass hypospadias repair for distal hypospadias over a four-year period by a single surgeon. Chart review followed by parental telephone interview was used to determine voiding function, cosmesis and complication rate. RESULTS: Thirty children and three adults were identified. Age at surgery ranged from seven months to 39 years. The urinary stream was straight in 94%, and 97% reported a good or satisfactory final cosmetic outcome. One patient (3.3%) developed a urethral fistula and 21% developed meatal stenosis which required general anaesthetic. CONCLUSION: The Snodgrass urethroplasty provides satisfactory cosmetic and functional results. High rates of meatal stenosis initially encountered have improved with modifications to technique which include modified meatoplasty and routine meatal dilatation by the parents.en_GB
dc.language.isoengen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAdulten_GB
dc.subject.meshChilden_GB
dc.subject.meshChild, Preschoolen_GB
dc.subject.meshCutaneous Fistula/prevention & controlen_GB
dc.subject.meshHumansen_GB
dc.subject.meshHypospadias/*surgeryen_GB
dc.subject.meshInfanten_GB
dc.subject.meshIrelanden_GB
dc.subject.meshMaleen_GB
dc.subject.meshParents/psychologyen_GB
dc.subject.meshPatient Satisfactionen_GB
dc.subject.meshSuture Techniquesen_GB
dc.subject.meshTime Factorsen_GB
dc.subject.meshUrethra/*surgeryen_GB
dc.subject.meshUrethral Diseases/prevention & controlen_GB
dc.subject.meshUrethral Stricture/prevention & controlen_GB
dc.subject.meshUrinary Fistula/prevention & controlen_GB
dc.subject.meshUrologic Surgical Procedures, Maleen_GB
dc.titleLessons learned using Snodgrass hypospadias repair.en_GB
dc.contributor.departmentDept of Urology, Cork University Hospital. oconnorkevinm@eircom.neten_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceMunster-

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.