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Lessons learnt from Snodgrass tip urethroplasty: a study of 75 cases

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Introduction and objectives

Snodgrass tubularized incised plate urethroplasty and 2 modifications were evaluated in 75 hypospadiacs (distal and midpenile).

Patients and methods

The initial 25 patients (group A), underwent Snodgrass tubularized incised plate urethroplasty. In the next 25 patients (group B), the urethral plate defining incision and Snodgrass urethrotomy were not extended distally to the glans tip and the neourethra was reconstructed (distal to proximal) over a spacer. In the last 25 patients (group C), dorsal free skin grafting of the raw area (following Snodgrass urethrotomy) was done.


In group A, all patients developed meatal stenosis and required intermittent dilatation for 3 months. In groups B and C meatal stenosis did not occur.


Restriction or elimination of the raw area in the region of the neomeatus as in groups B and C effectively prevents meatal stenosis following Snodgrass repair.

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  1. Snodgrass W (1994) Tubularized incised plate urethroplasty for distal hypospadias. J Urol 151:464–465

    CAS  PubMed  Google Scholar 

  2. Snodgrass W (1999) Does tubularized incised plate hypospadias repair create neourethral strictures? J Urol 162:1159–1161

    CAS  PubMed  Google Scholar 

  3. Lopes JF, Schned A, Ellsworth PI, Cendron M (2001) Histological analysis of urethral healing after tubularized incised plate urethroplasty. J Urol 166:1014–1017

    Article  CAS  PubMed  Google Scholar 

  4. Elbarky A (2002) Further experience with the tubularized incised urethral plate technique for hypospadias repair. BJU Int 89:291–294

    Article  CAS  PubMed  Google Scholar 

  5. Snodgrass W, Koyle M, Manzoni G, Hurwitz R, Caldamone A, Ehrlich R (1998) Tubularized incised plate hypospadias repair for proximal hypospadias. J Urol 159:2129–2131

    CAS  PubMed  Google Scholar 

  6. Shanberg AM, Sanderson K, Duel B (2001) Re-operative hypospadias repair using the Snodgrass incised plate urethroplasty. BJU Int 87:544–547

    CAS  PubMed  Google Scholar 

  7. Snodgrass WT, Nguyen MT (2002) Current technique of tubularized incised plate hypospadias repair. Urology 60:157–162

    Article  PubMed  Google Scholar 

  8. Kolon TF, Gonzales ET Jr (2000) The dorsal inlay graft for hypospadias repair. J Urol 163:1941–1943

    Article  CAS  PubMed  Google Scholar 

  9. Foley SJ, Denny A, Malone PS (2000) Combined buccal mucosal grafting and Snodgrass technique for salvage hypospadias repairs: a promising alternative. BJU Int 85:46

    PubMed  Google Scholar 

  10. Snow BW, Cartwright PC, Unger K (1995) Tunica vaginalis blanket wrap to prevent urethrocutaneous fistula: an 8 year experience. J Urol 153:472–473

    CAS  PubMed  Google Scholar 

  11. Lorenzo AJ, Snodgrass WT (2002) Regular dilatation is unnecessary after tubularized incised-plate hypospadias repair. BJU Int 89:94–97

    Article  CAS  PubMed  Google Scholar 

  12. Snodgrass W (2001) TIP urethroplasty: new directions in distal hypospadias repair. Contemp Urol 9:28–42

    Google Scholar 

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Correspondence to R. B. Singh.

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Singh, R.B., Pavithran, N.M. Lessons learnt from Snodgrass tip urethroplasty: a study of 75 cases. Ped Surgery Int 20, 204–206 (2004).

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