OBJECTIVES: To objectively assess the functional and cosmetic outcomes of a modified tubularised incised-plate (TIP) urethroplasty (Snodgrass) technique, with particular attention to the uroflowmetry study and @entity2650 Objective Scoring Evaluation (HOSE) score. @entity1 AND METHODS: In a prospective case-series study, 43 consecutive @entity1 with primary @entity2650 were evaluated. The modified Snodgrass technique included an extension of the midline relaxing incision of the urethral plate from within the hypospadiac meatus to the very tip of the glans. The neourethra was tubularised starting at the neomeatus and proceeding proximally. The neourethra was covered with either a single or double dartos flap. In toilet-trained @entity1 , at least 3  months after surgery, the flow pattern, maximum (Q max), and mean urinary flow rate (Q ave) were recorded, and the results plotted against a recently published flow-rate nomogram from normal @entity1 . The postvoid residual urine volume was measured using ultrasonography. The cosmetic outcome was assessed using the HOSE system. RESULTS: The native meatus was coronal in 11 (26%), subcoronal in 23 (53%) and distal penile in nine (21%) of the @entity1 . The median (range) age was 4.2 (0.5-14) years. The neourethra was covered by a single dorsal dartos flap in 25 and a double dartos flap in 18 @entity1 . At a median (range) follow-up of 6 (3-24) months, the uroflowmetry findings in 26 uncomplicated toilet-trained @entity1 with a median (range) age of 5.2 (3.3-14) years showed an abnormal Q max below the fifth percentile in four (15%), with the Q ave above the fifth percentile in all. The flow pattern was bell-shaped in nine @entity1 (35%), interrupted/intermittent in five (19%), slightly flattened in 10 (39%) and a plateau in two (8%). A vertical slit-like meatus located at the distal glans was created in 39 (91%) @entity1 , and at the proximal glans in four (9%). The urinary stream was single and straight in 39 and angled in four @entity1 . A straight erection was observed in 42 (98%) @entity1 . Four @entity1 had preoperative mild penile torsion of <45  , that was corrected by surgery. The mean (SD, range) HOSE score was 15.8 (0.6, 13-16). Two @entity1 had a small, single subcoronal @entity292 . CONCLUSION: Extending the midline urethral plate-incision in the modified Snodgrass repair to the apical part of the glans can be done safely with a high rate of locating the neomeatus at the glans tip, with no resultant meatal stenosis. The functional and cosmetic results of the procedure are good, but long-term data and comparative studies are required to confirm these results.

Distal extension of the midline urethral-plate incision in the XXXX repair: An objective assessment of the functional and cosmetic outcomes.

@entity1 :: ('9606', 'Species') :: ['children', 'patients', 'PATIENTS', 'boys'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula'] @entity2650 :: ('MESH:D007021', 'Disease') :: ['distal hypospadias', 'Hypospadias']
@entity2650 :: (MESH:D007021,Disease) :: ['Snodgrass hypospadias']
