STUDY OF SURGICAL OUTCOME OF HYPOSPADIUS CORRECTION BY MODIFIED SNODGRASS (TUBULARISED INCISED PLATE URETHROPLASTY) TECHNIQUE

Background:The incidence of hypospadias is around 1 in 300 male live births. It is the most common congenital abnormality of the urethra. Diagnosis is made on physical examination. There are three characteristic features, including an ectopic ventrally located urethral meatus usually a ventral penile curvature (chordee) and an incomplete dorsal hood prepuce Surgical repair of hypospadias deformity is a challenging and complex issue. However, the technique of Snodgrass and its modifications attend promising functional and cosmetic results. Aims & Objectives: The paper aims at finding the outcomes of correction of distal and mid-shaft hypospadias by modified snodgrass technique and to compare it with the data available for other techniques Patients And Methods: Source- All patients undergoing surgical correction of hypospadias within the study period of 6 months( 15th March 2023 to 15th September 2023) Type Of The Study: prospective observational study Sample size: 15 patients Inclusion criteria: 1) Patients with distal and mid shaft hypospadias 2) all patients giving consent for the surgery Exclusion criteria: 1) Patients with severe chordee 2) Patients with immunocompromised status 3) Patients not willing to stay in hospital for long as this procedure needs careful dressings and hospital care as we are dealing with children 4) Patients who already underwent modified snodgrass technique Result: This study includes 15 boys with hypospadias. On Presentaion Two Patient Had Mid Shaft Hypospadias With Severe Chordee Rest All Patients Had Distal Shaft Hypospadias With Minimal Chordee. Their ages ranged from 3 to 8 years average 5 years The mean follow up was 3 months and complications were observed in only FIVE (33%) patient. Conclusion: From 15th MARCH 2023 to 15th SEPTEMBER 2023 over 6 months this study has emphasized on the clinical outcomes including any urethrocutaneous fistula , hemorrhage,infection,recurrence of chordee or any stricture formation following modified snodgrass technique and only 20% cases developed urethrocutaneous fistula.