ABSTRACT
OBJECTIVE: In the case of hypospadias, the urethral meatus (opening) is found on the base of the penis rather than the tip. It is a relatively common condition affecting about 1 in 250 male infants. The goal is to choose the procedure that would provide the best results while posing the fewest treatment obstacles while taking into account the many treatment options for this aberration and serious issues such as fistula and meatal/neourethral stenosis. The purpose of this research was to assess the efficacy, aesthetics, and complications of the snodgraft technique for treating distal or midshaft hypospadias.
METHODS: The 60 boys who had Snodgraft procedures at Mayo Hospital in Lahore, Pakistan, and had distal hypospadias were included in this research, which was done from December 2022 to December 2023. After surgery, all patients were monitored and checked for postoperative problems at intervals of 1 week, 2 weeks, monthly to 6 months, and finally once a year.
RESULTS: The patients were 30.1±11.3 months old on average. Both surgical diverticulitis and meatal stenosis were not present after surgery. Four patients had urethrocutaneous fistulas at the time of the first follow-up; one of these four patients showed a spontaneous improvement after six months. All patients had normal urinary status. There was no evidence of bleeding, hematoma, or meatus stenosis in the patients. In all instances, the meatus had a very attractive look that was equivalent to that of normal individuals.
CONCLUSIONS: The Snodgrass procedure is a surgical technique used to repair hypospadias. It is known for having good outcomes in terms of the appearance of the glans and meatus, with low rates of complications such as fistula formation and stenosis. However, as with any surgical procedure, there is always a risk of complications and individual results may vary. It is important for patients and their families to discuss the potential benefits and risks of the Snodgrass procedure with their surgeons to make an informed decision. Prospective studies with a bigger patient sample size are required to corroborate our results.

KEYWORDS: snodgraft, hypospadias, surgery