29th Congress of the Société Internationale d’Urologie

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Research Title: 
POS-02.114: Tubularized Incised Plate as First Choice of Therapy for Hypospadias
Mahmoud Mustafa
Sun, 2007-09-02
POS-02.114_Tubularized_Incised_Plate_as_First_Choice_of_Therapy_for_Hypospadias.pdf72.25 KB
Research Abstract: 

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.