ONLAY PROCEDURE

In the onlay procedure, a rectangle of preputial mucosa is pediculized down to the base of the penis
and transferred to the ventrum of the penis to be layed on the urethral plate using interrupted 6/0 or
7/0 or a running suture.

When the urethral plate is too poor to be kept fulltube urethroplasty needs to be performed using
either a pediculized rectangle of preputial flaps or a rectangle of buccal mucosa may be used. The
main disadvantage of these techniques is that a proximal circular urethral anastomosis is performed,
which increases the risk of urethral stenosis.
Snodgrass Procedure

The urethral plate is incised longitudinally on its midline from the ectopic meatus up the glans and
subsequently tubularized around a Fr 8 catheter.This is the Snodgrass procedure which leaves a
dorsal raw area in the urethra with a subsequently epithelize.