Feasibility of a tubularised incised-plate urethroplasty with double de-epithelised dartos flaps in a failed hypospadias repair: A preliminary report

Yildiz, Abdullah; Bertozzi, Mirko; Akın, Melih; Appignani, Antonino; Prestipino, Marco; Dokucu, Ali İhsan

doi:10.4103/0189-6725.93294

Cited by 4 publications

(2 citation statements)

References 21 publications

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“…Neourethral tube length, suture technique, urinary diversion selection, stent use, surgical technique and anatomic features like distal urethral plate and glandular groove are known to affect the success of TIPU surgery. Currently, the surgical method has been modified to include transfer of tissue like dorsal or ventral‐lateral dartos fascia flap or corpus spongiosum flap over the neourethral tube to increase the success of surgery or reduce complication rates (Yildiz et al., 2012).…”

Section: Introductionmentioning

confidence: 99%

TIPU outcomes for hypospadias treatment and predictive factors causing urethrocutaneous fistula and external urethral meatus stenosis in TIPU: Clinical study

Güler

2020

Andrologia

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Hypospadias is the most common genital malformation occurring due to incomplete development of the urethral folds in neonate infants. The prevalence varies from 3 to 8 per 1,000 live births. Studies in recent times have reported this has increased in the last 30 years in the USA. On attendance, more than 50% are known to have distal localization. At present, about 300 surgical techniques have been described, with continuing debates about the topic of which is better. The main aim of surgical methods is to obtain a urethra with normal calibration and provide good cosmetic appearance. Additionally, it should be easy to learn, simple, applicable to most cases, be completed in a single session and have low complication rates (Bhat et al., 2016). Snodgrass first described the TIPU method in 1994, and it is currently the most commonly chosen surgical method. Neourethral tube length, suture technique, urinary diversion selection, stent use, surgical technique and anatomic features like distal urethral plate and glandular groove are known to affect the success of TIPU surgery. Currently, the surgical method has been modified to include transfer of tissue like dorsal or ventral-lateral dartos fascia flap or corpus spongiosum flap over the neourethral tube to increase the success of surgery or reduce complication rates (Yildiz et al., 2012). The most commonly observed complications are urethrocutaneous fistula or meatal stenosis. Other less commonly observed complications include glans dehiscence, proximal dehiscence of the meatus, skin necrosis and wound site infections.

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Section: Introductionmentioning

confidence: 99%

TIPU outcomes for hypospadias treatment and predictive factors causing urethrocutaneous fistula and external urethral meatus stenosis in TIPU: Clinical study

Güler

2020

Andrologia

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“…Other studies, however, have reported that the use of the dartos flap is a good choice for preventing fistula [11,12]. Many studies have begun to use the double-dartos flap in order to prevent the total formation of the fistula for both primary and failed Hp repair [13,14,15,16]. In our study, we also applied double-dartos flaps using a prepucial flap by dividing the dorsal prepucial flap into two equal parts for primary cases (fig.…”

Section: Discussionmentioning

confidence: 99%

Our Experience with a Double-Layer Surgical Technique for Preventing Fistula Development in Children and Young Adults with Hypospadias

Demir

Karadağ²,

Çeçen³

et al. 2015

Urol Int

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Introduction: In this study, we describe a new approach called the double-layer on and prepucial flap technique in order to prevent fistula or fissure development. Material and Method: Twenty-seven patients with subcoronal hypospadias were enrolled. The prepared prepucial flap was divided into two equal parts. A double-layer flap was formed and used for reinforcing of the neourethra. Uroflowmetric analysis was used for evaluating the urethral stricture at the end of the first year. A blinded urologist and the patients' themselves evaluated the aesthetic appearance. Results: The mean age was 12.17 ± 2.79. All cases were primary. All evaluated parameters were at the end of the first year. Only three (3/27, 11.1%) of the patients had minimal external mea stricture that managed with urethral dilatation. None of them had any fistula, fissure, or dehiscence as well as infection and hematoma. The mean Q_max value was 17 ml/s and the Q_ave value was 9 ml/s. The mean scores with standard deviations with regard to the appearance of the patients' penis before and after operations were 3.08 ± 0.77 and 8.25 ± 0.73, respectively and this difference was statistically significant (p < 0.001). Conclusion: The double-layer dartos flap technique is a candidate to be the least risky technique to prevent complications as well as to increase the aesthetic appearance up to satisfactory levels.

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Modified Tubularized Incised Urethral Plate Urethroplasty

Bhat

2022

Hypospadiology

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Feasibility of a tubularised incised-plate urethroplasty with double de-epithelised dartos flaps in a failed hypospadias repair: A preliminary report

Abstract: The preliminary results showed that TIPU with double de-epithelised dartos flaps is a useful method of successfully repairing failed hypospadias.

Cited by 4 publications

References 21 publications

TIPU outcomes for hypospadias treatment and predictive factors causing urethrocutaneous fistula and external urethral meatus stenosis in TIPU: Clinical study

TIPU outcomes for hypospadias treatment and predictive factors causing urethrocutaneous fistula and external urethral meatus stenosis in TIPU: Clinical study

Our Experience with a Double-Layer Surgical Technique for Preventing Fistula Development in Children and Young Adults with Hypospadias

Modified Tubularized Incised Urethral Plate Urethroplasty

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