{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T08:19:00Z","timestamp":1778401140706,"version":"3.51.4"},"reference-count":24,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2001,12,24]],"date-time":"2001-12-24T00:00:00Z","timestamp":1009152000000},"content-version":"vor","delay-in-days":510,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aust. N.Z. J. Surg."],"published-print":{"date-parts":[[2000,8]]},"abstract":"<jats:p><jats:bold>Background<\/jats:bold>: Snodgrass first described the tubularized, incised plate (TIP) urethroplasty for distal hypospadias repair in 1994 based on the concept of hingeing the incised urethral plate. The use of this technique allows a vertically orientated glanular meatus to be produced. A retrospective review of patients who had this procedure for the primary repair of distal hypospadias at New Children\u2019s Hospital was performed to objectively assess the cosmetic and functional outcomes of this technique.<\/jats:p><jats:p><jats:bold>Methods<\/jats:bold>: All patients having a TIP urethroplasty for the primary repair of distal hypospadias between 1996 and 1998 were requested to attend for review in an independent clinic. The parents were interviewed and the patient was examined to determine meatal location, meatal size, glanular configuration, urinary stream, straightness of erections, cosmesis, and the presence or absence of cutaneous sinus tracts or a urethral fistula.<\/jats:p><jats:p><jats:bold>Results<\/jats:bold>: Sixty patients were identified. Forty\u2010nine were reviewed in person, 10 were reviewed by telephone and one could not be traced. The median age at surgery was 13 months (range: 6\u2013144 months), with a median follow up of 27 months (range: 2\u201333 months). A glanular meatus was achieved in 57 patients (97%) and a conical glanular configuration was achieved in 58 patients (98%). The urinary stream and erections were straight in 54 (89%) and 58 patients (98%), respectively. Suture sinus tracts were present in 14 (24%) patients. Six patients (10%) developed a urethral fistula and three (5%) developed meatal stenosis. A good or satisfactory final cosmetic and functional result was achieved in 58 patients (98%).<\/jats:p><jats:p><jats:bold>Conclusions<\/jats:bold>: The results of TIP urethroplasty are satisfactory at New Children\u2019s Hospital with the benefit of a cosmetic final outcome similar to a circumcised penis.<\/jats:p>","DOI":"10.1046\/j.1440-1622.2000.01906.x","type":"journal-article","created":{"date-parts":[[2003,3,11]],"date-time":"2003-03-11T02:44:42Z","timestamp":1047350682000},"page":"597-600","source":"Crossref","is-referenced-by-count":30,"title":["Clinical Review Of The \u2018Snodgrass\u2019 Hypospadias Repair"],"prefix":"10.1111","volume":"70","author":[{"given":"A. J. A.","family":"Holland","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G. H. H.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. T.","family":"Cass","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2001,12,24]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(94)90004-3"},{"key":"e_1_2_6_3_2","unstructured":"DuckettJW&BaskinLS.Hypospadias. In: Gillenwater JY Grayhack JT Howards SS Duckett JW (eds)Adult and Pediatric Urology 3rd edn. St Louis: Mosby 1996; Ch. 45."},{"key":"e_1_2_6_4_2","unstructured":"BaskinLS&DuckettJW.Hypospadias. In: Stringer MD Oldham KT Mouriquand PDE Howard ER (eds)Pediatric Surgery and Urology: Long Term Outcomes. London: WB Saunders Co. Ltd 1998; Ch. 55."},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)34991-1"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)39161-9"},{"key":"e_1_2_6_7_2","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1016\/S0022-5347(17)40766-X","article-title":"The GAP (glans approximation procedure) for glanular\/coronal hypospadias.","volume":"141","author":"Zaontz MR.","year":"1989","journal-title":"J. Urol."},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)41325-5"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)65835-X"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s003450050050"},{"key":"e_1_2_6_11_2","first-page":"52","article-title":"Study of the incidence of hypospadias in Rochester, Minnesota 1940\u201370, and a case control comparison of possible etiologic factors.","volume":"49","author":"Sweet RA","year":"1974","journal-title":"Mayo Clin. Proc."},{"key":"e_1_2_6_12_2","first-page":"3","article-title":"Is hypospadias an \u2018environmental\u2019 birth defect?","volume":"23","author":"Paulozzi LJ.","year":"2000","journal-title":"Dialogues Paediatr. Urol."},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)68863-5"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197901113000206"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/tera.1420240306"},{"key":"e_1_2_6_16_2","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1542\/peds.71.3.342","article-title":"Timing of elective hypospadias repair in children.","volume":"71","author":"Schultz JR","year":"1983","journal-title":"Pediatrics"},{"key":"e_1_2_6_17_2","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1542\/peds.97.4.590","article-title":"Timing of elective surgery on the genitalia of male children with particular reference to the risks, benefits, and psychological effects of surgery and anesthesia.","volume":"97","author":"American Academy of Pediatrics.","year":"1996","journal-title":"Pediatrics"},{"key":"e_1_2_6_18_2","unstructured":"MurphyJP.Hypospadias. In: Ashcraft KW Holder TM (eds)Pediatric Surgery 2nd edn. Philadelphia: WB Saunders Co. 1994; Ch. 57."},{"key":"e_1_2_6_19_2","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1016\/S0022-5347(17)55168-X","article-title":"An analysis of different techniques for distal hypospadias repair: The price of perfection.","volume":"125","author":"Mills C","year":"1981","journal-title":"J. Urol."},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)67177-5"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s003830050530"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)66823-X"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)66504-2"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)63293-2"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410x.1999.00286.x"}],"container-title":["Australian and New Zealand Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1046%2Fj.1440-1622.2000.01906.x","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1046%2Fj.1440-1622.2000.01906.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1046\/j.1440-1622.2000.01906.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T11:23:17Z","timestamp":1698751397000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1046\/j.1440-1622.2000.01906.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,8]]},"references-count":24,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2000,8]]}},"alternative-id":["10.1046\/j.1440-1622.2000.01906.x"],"URL":"https:\/\/doi.org\/10.1046\/j.1440-1622.2000.01906.x","archive":["Portico"],"relation":{},"ISSN":["0004-8682"],"issn-type":[{"value":"0004-8682","type":"print"}],"subject":[],"published":{"date-parts":[[2000,8]]}}}