Dr. Snodgrass and Dr. Bush have been searching for the best operation to repair severe hypospadias in boys with chordee (penile curvature). For a time they did TIP repair after extensive dissection of the urethral plate. Most of these operations were a success, but a few patients developed strictures needing reoperation using grafts from the mouth. Consequently, they reported to other surgeons in this article that they no longer recommend this hypospadias repair for severe hypospadias, but instead Snodgrass and Bush now correct hypospadias with significant chordee using STAG.
Urethral strictures following urethral plate and proximal urethral elevation during proximal TIP hypospadias repair.