Role of Tubularized Incised Plate Urethroplasty (Snodgrass Technique)In Repair of Primary And Recurrent Hypospadias

A great number of surgical procedures (over 300 techniques have been described). These procedures includes meatal advancement and glanuloplasty in corporation ”MAGPI procedure”, parameatal-based flap ”Mathieu repair” and preputial flap either tabularized or on lay island flap technique.Tubularized incised plate urethroplasty is a versatile operation that corrects proximal hypospadias defects with few complications and superior cosmetic results . Tubularized incised plate urethroplasty can be performed in most cases of distal hypospadias. Cosmetic results are superior to those of other techniques .). Tubularization of the incised urethral plate is a safe advance in the surgery of hypospadias. It is recommended for both distal and proximal defects in patients where the urethral plate is insufficient for tubularization alone .Hypospadias is the most common penile congenital anomaly which occurs in approximately 1: 300 live birthsHypospadias is a congenital defect due to incomplete tubularization of the urethral plate leading to abnormal location of the meatus any where along the ventral aspect of penile shaft and down to the perineumHypospadias may be defined classically as an association of three anatomical and developmental anomalies of the penis (Mouriquand et al., An abnormal ventral opening of the urethral meatus, which may be located any where, from the ventral aspect of the glans penis to the perineum.(1) An abnormal ventral curvature of the penis (Chordee).(2) An abnormal distribution of the foreskin with (a hood) present dorsally and deficient foreskin ventrallyHistorically, > 200 procedures have been described for repairing hypospadias. This may reflect the unsatisfying result of each techniqueThe aim should be a straight penis with no redundant skin, with a slit-shaped meatus, with regular scars and an aesthetically reconstructed ventral aspect of the glans. The child should be able to pass urine while standing, with no spraying, no straining, no pain and in a single stream from the apex of the glans. The penis should be straight when erected).