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Abstract

Background: Hypospadias is a congenital abnormality characterized by opening of external urethral meatus on ventral aspect ofthe penis with an overall incidence of 1:300. Different treatment modalities have been employed in the treatment of distal penilehypospadias with varying degrees of success and complications. A number of studies have compared Mathieu and SnodgrassTechniques but the existing evidence is doubtful owing to small sample size and great variation in their results. Objective: Tocompare the outcome of Mathieu repair with that of tubularized incised Plate Urethroplasty (Snodgrass) in distal penilehypospadias. Methodology: 90 patients meeting the inclusion and exclusion criteria's were selected and divided into two equalgroups randomly using lottery method. Group-A was treated by Mathieu technique and Group-B underwent Snodgrass repair.Operative time was noted in minutes from the start of procedure till the end. Patients were followed post-operatively at 15th day, 1Month and 2 Months and functional recovery and complications were evaluated. Results: The age of the patient ranged from 1 to25 years in both groups with mean age of 6.67±5.74 years in Group-A and 6.65±6.06 years in Group-B (p=0.982). Snodgrass wasbetter in terms of mean operative time (67.37±8.85 minutes versus 87.86±8.22; p=0.00) as compared to Mathieu technique. Thefunctional outcome in terms of meatal location at tip was better in Snodgrass (93.7% versus 80.2%; p=0.003) with a lower fistularate (5.4% versus 21.6%; p=0.00) as compared to Mathieu technique. Conclusion: Tubularized Incised Plate Urethroplasty(Snodgrass) is better than Mathieu technique for the treatment of distal penile hypospadias in terms of operative time, success and complication rate.