While many colleagues believed circumcision was the solution to tight foreskin, Dr. Snodgrass used steroid therapy to show that is was effective in releasing foreskin attachments. This avoided circumcision in many boys. Today, we use this same steroid cream to help stretch and soften penile skin after surgery in patients with compromised penile skin. Read… Read More »
The technical steps of TIP (tubularized incised plate) distal hypospadias repair have not changed in more than a quarter century. There are key steps that must be performed correctly. Surgeons who experience problems with TIP are commonly making a technical error during the surgery. Read publication here.
Although Dr. Snodgrass was taught to repair hypospadias using flap techniques, he abandoned these flap repairs many years ago due to high complication rates. Unfortunately, many surgeons still perform flap hypospadias repairs throughout the United States and the world today. Flap repairs involve moving penile skin to create the urine channel while it is still… Read More »
Before we started using an instrument, called a goniometer, to measure curvature, we performed TIP repair in many boys with proximal hypospadias. We now know that curvature is very common in proximal hypospadias, and that TIP repair should NOT be used when there is curvature more than 30 degrees as measured by the goniometer during… Read More »
Dr. Snodgrass and Dr. Bush do not ever recommend dilations after hypospadias repair. They are typically not necessary and can cause distress to both patients and their families. Early after surgery, post-operative swelling can cause a fine, thin stream. This will usually improve with time as the internal swelling resolves. True stenosis/scarring internally is rare… Read More »
