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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 11 No. 1-2 (2020)

Snodgrass Procedure (TIP), game changing procedure: A single Surgeon’s Experience

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2020
CONTENTSVolume 11Number 1 & 2January - July 2020
Editorial
Pediatric Fluid Prescription, Close Monitoring and Raising Awareness
Mohammed Shadrul Alam
01
Original Articles
Cancer Status in Pediatric Population of Chittagong, Bangladesh
Tasmiah Tahera Aziz, Samira Hayee, Orindom Shing Pulock, Maliha Haider, Tahmina Banu
03
Snodgrass Procedure (TIP), game changing procedure: A single Surgeon’s Experience
Md Samidur Rahman, Md Shahin Reza, Zinat Tanjida, Elora Afroz Leema, Nazmul Haider Chowdhury Sonet, Md Ashekin Abir, Prosenjit Datta
11
Surgical Management and Outcome of Neural Tube Defects in Children
Anupam Das, Md Nurul Alam, Md Shamsur Rahman, Md Oyes Ahmed Chowdhury, Habib Ullah Khan, Md Sirajul Islam
17
Neonatal Surgical Situation in Bangladesh: Challenges and Way Forward
Md Sharif Imam, Tanvir Kabir Chowdhury, Md Mozammel Hoque, Tahmina Banu
24
Ultrasonographic guided Fine Needle Aspiration Cytology (FNAC) in the Diagnosis of Intra-abdominal Solid Mass in Children
Abdur Razzaque, Towhidul Islam, AKM Mizanur Rahman, Nazmun Naher Poly, Diponkar Kumar Saha
33
Evaluation of BATICH Score for the management of Paediatric Blunt Abdominal Trauma
Kamrul Ahasan Chowdhury, Rajib Khastagir, MA Mushfiqur Rahman, Rivu Raj Chakraborty, Tanvir Kabir Chowdhury
40
Understanding the Epidemiology of Labial Adhesion among Paediatric Age-groups in Bangladesh: A Single-center Cross-Sectional Study
Rifah Sanjeedah Tahsin, Sakibul Alam, Arpita Biswangree, Bijita Biswangree, Md Fahadul Islam, Debjyoti Barua, Md Sharif Imam
45
Case Reports
Tubercular ulcer on the dorsum of the penis in a toddler, a case report
Dipankar Kumar Saha, Khondoker Moynul Hasan, Sajal Kumar Majumdar, Mirza Kamrul Zahid, Abhi Kumar Chakraborty, Syed Mahmudur Rahman, AKM Maruf Reza, Soma Podder
52
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Md Samidur RahmanHead Dept. of Paediatric Surgery, DMCH
  • Md Shahin RezaAsst. Professor, Dept. of Paediatric Surgery, DMCH
  • Zinat TanjidaAsst. Professor, Biochemistry, NIDCH
  • Elora Afroz LeemaAsst. Professor, Radiology & Imaging, DMCH
  • Nazmul Haider Chowdhury SonetAsst. Registrar, DMCH
  • Md Ashekin AbirRegistrar Paeditric Surgery, DMCH
  • Prosenjit DattaResident Paediatric surgery, DMC

Keywords

Snodgrass hypospadias single surgeon

Abstract

Background: Hypospadias is the most common congenital anomaly of male urogenital tract. Different aspects of hypospadias such as its etiology, classification and treatment have been a place of discussion. More than 300 methods have been tried for correction of hypospadias. No single technique has been accepted as gold standard because of diversity of results of different methods and different outcome. The of surgical technique depends on the surgeon’s personal experience and training. Aim: The aim of our study is to see the outcome of Snodgrass procedure in distal hypospadias as well of proximal hypospadias where the urethral plate is adequate and having minimal chordee. Methods: This is a retrospective study conducted in a single unit of Dept. of Pediatric Surgery DMCH and a private hypospadias center by a single surgeon where total 96 patients out of 152 were operated by Snodgrass (TIP) procedure from July 2022 to September 2023. Data were analyzed and results were compared with other recently published studies. Results: Out of 96 patients, 7 patients developed single UC fistula among which 3 healed spontaneously and 3 needed repair after 6 months. 5 patients developed meatal stenosis who required regular dilation with the help of the tip of a feeding tube lubricated with 2% jesocaine jelly and low potential steroid ointment. 2 patients developed partial glans disruption and 4 patients lost epidermal layer of skin, all of which healed spontaneously without residual scar. Conclusion: The TIP or Snodgrass technique is the most popular option for distal hypospadias and proximal hypospadias without severe chordee and having good outcomes.

Journal of Paediatric Surgeons of Bangladesh (2020) Vol. 11 (1 & 2): 11–16

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