Bracka's and Snodgrass Surgical Techniques for Hypospadias Correction: A Comparative Study

Abstract

Objective: To compare the surgical outcome of hypospadias repair using the Bracka's and Snodgrass techniques at Liaquat University Hospital, Jamshoro

Study Design: Prospective study

Place and Duration of Study: This study was conducted at the department of Plastic Surgery of Liaquat University Hospital, Jamshoro from January, 2021 to December, 2021.

Materials and Methods: Male pediatric patients aged 6 months to 12 years and primary cases of hypospadias, with good prepuce, and wide urethral plate were included. Patients were randomly divided according to the surgical (Bracka’s and Snodgrass) method were performed. The post-surgical evaluation was also performed to evaluate any immediate or late post-operative complications.

Results: Out of 120 participating pediatric patients, a majority (56.0%) belonged to age < 5 years with the mean age of participating patients was 3.5±2.3. Post-operative complications were more common in Bracka’s technique group (p<0.05). Comparing the postoperative length of stay and operative time, a significant difference (p<0.05) between both surgical techniques was witnessed

Conclusion: Snodgrass is much more advantageous compared to Bracka’s method with minimal post-operative complications