الفهرس 
AnatomyOnly 14 pages are availabe for public view
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Abstract
Hypospadias refers to a penile defect in which the urethral orifice terminates on the ventral aspect of the penis proximal to the normal site. Hypospadias may be associated with a variable degree of ventral curvature of the penis called chordee.Hypospadias is one of the commonest congenital anomalies in males with an incidence of one in 300 live male births.Anatomical classification of hypospadias recognizes the level of the meatus without taking into account presence of penile curvature. Hypospadias is classified into distal & proximal hypospadias. Proximal hypospadias subdivided into mid penile, posterior penile, penoscrotal, scrotal & perineal hypospadias.Surgical repair of hypospadias has a history of more than 150 years. Today more than 300 surgical procedures with accompanying modifications have been proposed for the repair of hypospadias.Our study aimed to evaluate the repair of distal penile hypospadias repair with tubularized incised plate (Snodgrass technique).The Snodgrass technique was applied to 20 patients in single groups as follow:All patients subjected to reapir with tubularized incised plate (Snodgrass)technique in the period between 2011 – 2013.Follow up of the patients ranged from one week to six months thoroughobservation showed that:In our study 4 cases (20 %) developed urethrocutaneous fistula one of them were associated with stenosis and closed spontaneously. All the fistulas occurred at the site of the original hypospadiac meatus. Spontaneous closure of the fistula occurred in 1 Patients. While the others, one was successfully repaired later. And the two others are still under observation, the final incidence of fistula that required re-operation was (3) patient (15%). Late postoperative complications that necessitated further correction included urethrocutaneous fistula in 3 patients and Wound dehiscence in 1 patient.