Attachment | Size |
---|---|
POS-02.114_Tubularized_Incised_Plate_as_First_Choice_of_Therapy_for_Hypospadias.pdf | 72.25 KB |
Purpose:To evaluate the validity of tubularized incised plate
(TIP) urethroplasty technique for proximal, distal, primary, secondary
and complicated cases of hypospadias.
Material & Methods:
From June 2002 to December 2003 and from March 2006 to January 2007
total of 36 patients aged 1-22 years (average 7.5) were operated using
the concept of TIP urethrolpasty. Data on patients is in table 1. The
standard TIP urethroplasty was performed in the primary cases (26
patients) while in the secondary cases (4 patients) and in the boys who
were circumcised before admission (6 patients), modified TIP
urethroplasty were used. In patients with chordee, hypospadias repair
and chordee release was done at one stage. The mean period of
hospitalization and follow up were 0.92 days and 4.19 months
respectively.
Results: No fistula was observed in boys who
underwent primary reconstruction using standard TIP urethroplasty.
Fistula was observed in two patients (5.55%); One patient with
penoscrotal hypospadiass who underwent 2-stage repair, and another one
was circumcised before admission. One patient had meatal stenosis at the
early postoperative period which was corrected by dilatation of the
external meatus by feeding catheter at intervals up to two months
postoperativaely. Three boys had very narrow fistula which just allow
leaks of few drops of urine through urination which was closed
spontaneously within two months.
Conclusion: Standard TIP
urethroplasty is the procedure of choice for the treatment of primary
cases of proximal hypospadias and, the concept of this technique seems
to be suitable for distal, secondary and even complicated hypospadias
reconstruction. The advantages of this procedure include its simplicity,
low complication rates and very good appearance of the glance with
normal meatus.