Could the grafted Snodgrass technique be a standard approach for repair of distal hypospadias with a narrow urethral plate? A comparative study

OBJECTIVE: Our purpose was to compare the Grafted Tubularized Incised Plate repair (Snodgraft) with the classic Tubularized Incised Plate (Snodgrass repair) in patients with narrow urethral plate (<8 mm). METHODS: The study was conducted at the Urology Department of Sohag University Hospitals. Patients were randomly allocated in to two groups Group I underwent classic Snodgrass repair and Group II underwent Snodgraft technique. Patients were followed up 3 weeks, 3 months, and 1 year postoperatively. Cosmetic and functional outcomes were assessed using the Hypospadias Objective Penile Evaluation (HOPE) score. RESULTS: value = 0.695). CONCLUSION: Snodgraft technique is technically more demanding with longer operative time than the classic Snodgrass technique. Although it can be safely applied in cases with a narrow urethral plate and achieves comparable outcomes to the classic Snodgrass repair, it does not demonstrate clear superiority to justify adoption as the standard approach.