An-Najah Staff

Purpose: Using the concept of tubularized incised plate (TIP) urethroplasty technique for proximal, distal, primary, secondary and complicated cases of hypospadias.
Patients arid Methods: From June 2002 to December 2003, TIP urethroplasty was performed in 15 patients (age range: 1 - 18 years) with penoscrotal, midshaft and subcoronal hypospadias. In 13 of them TIP urethroplasty was used as the primary repair while in two of them it was used as secondary repair.
Results: No clinically important complications were observed in those boys who underwent primary reconstruction. One of them 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 postoperatively, Three boys had very narrow fistulae which just allowed leaks of few drops of urine during urination. One boy with penoscrotal hypospadiass who had undergone 2-stage repair had fistula.
Conclusion: The concept· of TI P urethroplasty is the procedure ot choice for the treatment of proximal hypospadias and it 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 cosmetic appearance of the glans with a normal meatus.