A Critical Analysis of Stented and Unstented Tubularized Incised Plate Urethroplasty Through a Prospective Randomized Study and Assessment of Factors Influencing the Functional and Cosmetic Outcomes

El-Karamany, Tarek; Al-Adl, Ahmed M.; Omar, Rabea; Aal, Ashraf M. Abdel; Eldakhakhny, Amr; Abdelbaki, Shabieb A.

doi:10.1016/j.urology.2017.04.056

Cited by 18 publications

(21 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a recent systematic review and meta-analysis comparing stented and non-stented distal hypospadias repair for TIPU and Mathieu techniques, there was no significant difference in the occurrence of early and late complication [16]. In a prospective and controlled study, similar results were presented [4]. They stressed urethral plate width, transverse glans diameter, and plate depth in their successful repairs.…”

Section: Discussionmentioning

confidence: 78%

“…Perioperative and post-operative pain management might be effective in this situation. El-Karamany et al [4] have already found postoperative pain score significantly in favor of the unstented group in their prospective and comparative study.…”

Section: Discussionmentioning

confidence: 87%

“…We did not observe bladder spasm in any patient in the unstented group. ElKaramany et al [4] found that bladder spasm was significantly more frequent (48% of the patients) in the stented group, whereas the unstented group had a rate of 8.5% bladder spasm.…”

Section: Discussionmentioning

confidence: 97%

“…However, discomfort in children fitted with a catheter after hypospadias repair has prompted some surgeons to consider stent-free repair. In a recent prospective randomized study, El-Karamany et al [4] compared stented and unstented TIPU repair and evaluated factors affecting the functional and cosmetic results. In a rabbit model of hypospadias repair by TIPU, Hafez et al [5] reported that a urethral catheter was not necessary after observing urothelial.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Use of a Stent in Distal Hypospadias Repaired by Tubularized Incised Plate Urethroplasty: A Comparative Study

Karakaya¹,

Doğan

Güler

2019

Urol Int

View full text Add to dashboard Cite

Purpose: We present our experience of stented and unstented distal hypospadias repaired by tubularized incised plate urethroplasty (TIPU). Patients and Methods: Data of 84 patients who were operated by TIPU method in 2 hospitals were retrospectively analyzed, and they were invited to be included in the study. Sixty-six patients agreed to participate in the study and were divided into 2 groups. Group 1 consisted of 38 boys operated in Sütçü İmam University Hospital on using a stent between 2015 and 2017. Group 2 consisted of 28 boys operated in Private Hospital of Megapark on without a stent between 2016 and 2017. The hypospadias objective scoring evaluation (HOSE) scale was used to compare the groups. Results: The median age was 2.81 years in group 1 and 1.95 years in group 2 (p = 0.243). The mean follow-up duration was 25.74 ± 4.62 and 24.5 ± 4.19 months in groups 1 and 2 respectively (p = 0.268). The HOSE scores were similar in both groups with comparable results (p = 0.622). Conclusions: No difference was observed between the groups in this study, regarding functional and cosmetic outcomes according to the HOSE score. However, the results should be supported by prospective studies with a sufficient number of patients.

show abstract

Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Use of a Stent in Distal Hypospadias Repaired by Tubularized Incised Plate Urethroplasty: A Comparative Study

Karakaya¹,

Doğan

Güler

2019

Urol Int

View full text Add to dashboard Cite

show abstract

“…Chordee or ventral curvature (VC) was recorded at the first visit and also after performing the erection test before making skin incisions. Chordee is defined as a penile shaft curvature and is categorized based on its degree: mild (<30), moderate (30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45), and severe (>45) curvature [9].…”

Section: Methodsmentioning

confidence: 99%

A Prospective Study of Outcomes After Tubularized Incised Plate (TIP) Urethroplasty: a Multivariable Analysis of Prognostic Factors in Children 1-3 Years Old

Roshandel

Rashed

Badr

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Tubularized incised plate (TIP) urethroplasty as the most common hypospadias repair method, aims to achieve normal functioning of the penis along with cosmetic reconstruction. However, there are remaining questions toward anatomical prognostic factors affecting the results of surgery. Lack of age-matched controls or controlling for meatal location, employment of several surgical techniques or multiple surgeons, or age heterogeneity of the study population are the problems affected the results of the current body of literature. Objective: This prospective study aimed to evaluate the preoperative factors to predict future complications associated with hypospadias repair outcomes in males aged between 1-3 years and performed by a single surgeon with employing multivariate analysis. Patients and methods: A prospective cohort of 101 males aging from 1 to 3 years with distal to mid-shaft hypospadias were consecutively selected for TIP repair. The urethral plate dimensions in erect and flaccid states, penile length, glans diameter, and chordee were evaluated individually before reconstruction. After surgery and during follow-up visits, the subsequent transient and persistent complications were recorded. Results: Postoperatively, the acute transient events were observed in 42 cases (41.6%) and the persistent complications in 16 cases (15.8%). The uncomplicated group had a higher percentage of patients with distal meatal location than the complicated group (P=0.01%). Furthermore, fistula formation was notably higher in the group with acute surgical site infection (P<0.001). The analysis also showed the width of the urethral plate to be inversely associated with the development of complications (P=0.03). Conclusion: By performing TIP by a single surgeon on a homogenous study population and eliminating the impact of severe chordee as a potential cofounding variable, this study prospectively found that out of the anatomical specifications, pre- and postoperative factors, the urethral meatus location was the only significant and independent predictor of the development of complications in young children with midshaft to distal hypospadias. Finally based on the inverse association of width with the complications we hypostatized that a combination of urethral width and depth should be considered in the investigation of prognostic factors for hypospadias repair outcomes.

show abstract

Resultados a medio plazo de la uretroplastia distal con colocación de sonda y sin ella. Análisis retrospectivo sobre la necesidad de reintervención y los resultados estéticos

Scarpa

Codrich

Iaquinto

et al. 2021

Actas Urológicas Españolas

View full text Add to dashboard Cite

A Critical Analysis of Stented and Unstented Tubularized Incised Plate Urethroplasty Through a Prospective Randomized Study and Assessment of Factors Influencing the Functional and Cosmetic Outcomes

Cited by 18 publications

References 27 publications

Use of a Stent in Distal Hypospadias Repaired by Tubularized Incised Plate Urethroplasty: A Comparative Study

Use of a Stent in Distal Hypospadias Repaired by Tubularized Incised Plate Urethroplasty: A Comparative Study

A Prospective Study of Outcomes After Tubularized Incised Plate (TIP) Urethroplasty: a Multivariable Analysis of Prognostic Factors in Children 1-3 Years Old

Resultados a medio plazo de la uretroplastia distal con colocación de sonda y sin ella. Análisis retrospectivo sobre la necesidad de reintervención y los resultados estéticos

Contact Info

Product

Resources

About