Does Suturing Technique Affect Outcomes of TIP Urethroplasty? A Comparative Study of Distal Penile Hypospadias in a Tertiary Care Hospital
DOI:
https://doi.org/10.54112/bcsrj.v7i2.2178Keywords:
Distal penile hypospadias, tubularized incised plate urethroplasty, Snodgrass procedure, urethrocutaneous fistula, postoperative complicationsAbstract
Hypospadias is one of the most common congenital anomalies in male children. Distal penile hypospadias is commonly corrected using tubularized incised plate (TIP) urethroplasty (Snodgrass procedure). The optimal suturing technique for urethral tubularization, interrupted versus continuous, remains uncertain. Objective: To compare postoperative complication rates between interrupted and continuous suturing techniques in TIP urethroplasty for distal penile hypospadias. Methods: This retrospective study was conducted from September 2024 to October 2025 at the Department of Pediatric Surgery, The Children’s Hospital and Institute of Child Health, Multan. Eighty-eight patients who met the inclusion criteria were enrolled and randomly assigned to two groups. Group A underwent TIP urethroplasty using an interrupted suturing technique, while Group B underwent repair using a continuous suturing technique. Patients were followed up at one week post-discharge and subsequently at 1, 2, and 3 months postoperatively. The primary outcome measure was the occurrence of postoperative complications. Results: Postoperative complications occurred in 13 patients (29.1%) in Group A and 17 patients (39.1%) in Group B. The difference between the two groups was not statistically significant (p > 0.05). Urethrocutaneous fistula was the most frequently observed complication in both groups. Conclusion: The suturing technique—interrupted or continuous—does not significantly affect the rate of postoperative complications following Snodgrass repair for distal penile hypospadias.
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Copyright (c) 2026 Muhammad Aslam, Shahnab Ahmad, Rafiq Ahmad Kamran, Bilal Hussain, Usama Ali, Amir Hanif
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