Modified Second Layer Repair for Distal Penile Hypospadias

Modified Tubularized Incised Plate Urethroplasty (Snodgrass) For Distal Hypospadias Repair in a Circumcised Patient With the Use of a Derma -Dartos Flap for Second Layer Closure: Our Initial Experience

to evaluate a modification to snodgrass technique in second layer closure of distal penile hypospadias

In our study, we applied a new modification by using an intervening layer of a de-epithelialized ventral derma-dartos flap for neourethral covering. we present our newly applied technique and its impact on the success rate.

Inclusion Criteria:

• All male patient with distal penile hypospadias aged less than 18

Exclusion Criteria:

• Patients with penile rotation or hypoplastic urethral plate were excluded from the study