Evaluation of Ventral Dartos Fascia Flap as a Covering Layer in TIP (Tubularized Incised Plate) Repair for Distal Hypospadias Patients [Snodgrass Technique

Abstract

Hypospadias is one of the most frequent congenital urological anomalies. Reports have suggested that the prevalence of hypospadias varies across different races, being highest among Caucasians, less in Hispanics, and least in blacks usually it occurring in 1–3 per 1,000 live births .The different degrees of hypospadias require different technique; which carry different complication rates and different prognoses. The aim of this study is to evaluate the outcome and efficiency of Ventral Dartos Fascia Flap as a covering layer in TIP [Tubularized Incised Plate] Repair for Distal Hypospadias Patients. Twenty-three patients with distal hypospadias was involved in this study. The Snodgrass technique was done to them using ventral Dartos fascia flap as a covering layer in this surgery.the risk of the fistula is about 4.3 %, and the cosmetic appearance was so acceptable in 22 patient out of 23 which is very convincing result from this simple technique. Glans dehiscence hadn’t occur, Meatal stenosis hadn’t occur, Skin infection occurred in one patient because he neglect the post-operative follow up visits and bad hygiene so the wound was moisture and infected, Edema , Inflammation and Encrustations. Urethral Stricture wasn’t reported in this study. Twisting of the penis is not reported in this study. TIP repair is a good procedure with no more complications than other procedures used in hypospadias surgery which can achieve both results, restore good function and normal appearance to the penis.