Tubularized incised-plate urethroplasty for proximal hypospadias

Snodgrass, W.T.; Lorenzo, A.

doi:10.1046/j.1464-4096.2001.01680.x

Cited by 49 publications

(76 citation statements)

References 13 publications

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“…Warren Snodgrass and Selcuk Yucel perform TIP in 65% of all proximal hypospadias with an overall complica on rate of 37%. Fistula occurred in 7 out of 35 pa ents (20%) 25 . At our ini al stage for proximal and severe form of hypospadias we did stage surgeries with orthoplasty (straightening of penis) as fi rst stage and urethroplasty as second stage.…”

Section: Discussionmentioning

confidence: 99%

Snodgrass Tubularized Incised Plate Urethroplasty for Distal and Midpenile Hypospadias

Thapa

Pun

2014

J. Nepal Paedtr. Soc.

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Introduction: Despite hundreds of repair techniques for hypospadias, the introduction of tubularized incised plate urethroplasty (TIP) by Warren T. Snodgrass has become popular because of good functional and cosmetic outcome. The objective of this study was to share our experience of Snodgrass tubularized incised plate (TIP) urethroplasty for the repair of distal and mid-penile hypospadias. Materials and Methods: This prospective study was carried out for a period of 24 months. It included 46 male patients with the mean age of 4.1 years (18 months to 10 years). Proximal hypospadias and those distal with moderate to severe chordee were excluded. All cases underwent TIP urethroplasty as described by Snodgrass and the neourethra was covered by single or double layer of dorsal prepucial layer. The results were analyzed on the basis of duration of surgery, types of postoperative complications like urethrocutaneous fistula, meatal stenosis and wound dehiscence. Functional results assessed with ease of voiding, force and direction of urinary stream and cosmetic with external look of penis. Results: The overall complication rate requiring surgical intervention was 8 (17.3%). Mean duration of surgery was 66 minutes (60-80 minutes). Urethrocutaneous fistula occurred in 5 (10.8%), meatal stenosis in 1 (2.1%) and wound dehiscence in 2 (4.3%) patient. The cosmetic appearance was excellent in all patients involved in this study except 2 cases of wound dehiscence. All of them had vertically oriented slit like meatus with straight urinary stream. Conclusion: Tubularized incised plate urethroplasty gives good functional and excellent cosmetic results with low rate of complications in distal and mid-penile hypospadias.

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Section: Discussionmentioning

confidence: 99%

Snodgrass Tubularized Incised Plate Urethroplasty for Distal and Midpenile Hypospadias

Thapa

Pun

2014

J. Nepal Paedtr. Soc.

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“…Snodgrass initially developed his operation (TIPU) for the treatment of the distal hypospadias forms (8), but later, he and others successfully used this technique for the treatment of proximally located types of hypospadias (9). Its cosmetic properties in terms of the meatal appearance and localisation are satisfactory.…”

Section: Discussionmentioning

confidence: 99%

Tubularised Incised Plate Urethroplasty Is An Applicable Method For The Treatment Of Hypospadiac Type Of Urethral Duplication

Yılmaz¹,

Günşar²

2009

TUTFD

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Urethral duplication is a rare congenital anomaly usually seen in males. We present a case of urethral duplication treated by a tubularised incised plate urethroplasty (TIPU) technique. A 5-year-old male boy was admitted to the clinic with the complaints of thin calibrated urinating and diurnal enuresis. We diagnosed distal penile hypospadias. During the operation, another urethral opening was found proximal to the previously seen hypospadiac meatus, localised on the coronary sulcus. We performed the TIPU procedure without excising the duplicated urethra. We only excised the common wall between the two urethras, and used the dorsal urethral plate of the duplicated urethra for tubularisation of the neourethra. The postoperative course was uneventful. A cystoscopy was done for suspected urogenital sinus. There was no further complaint at the third postoperative month. The TIPU technique can be successfully applied in such cases. The dorsal plate of the duplicated urethra can be used to form the neourethra.

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“…10 The Snodgrass technique, first used for the repair of anterior hypospadias, was later extended to posterior forms. [11][12][13][14] The urethroplasty technique of 'tubularized incised plate urethroplasty' or TIP is now one of the most popular in surgical repair of hypospadias and according to the last survey on the most popular hypospadias repair is utilized in 85% of all hypospadias repairs.…”

Section: Surgical Techniques For Hypospadias Repairmentioning

confidence: 99%

Outcome of pediatric hypospadias repair in adulthood

Chertin

Prat²,

Shenfeld³

2010

RRU

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Purpose:To review the evolution of the technique of hypospadias repair. Methods: A search of Pubmed, Medline and the Journal of Pediatric Urology was performed, and papers dealing with surgical techniques for hypospadias repair were critally reviewed. Special emphasis was given to papers on the effects in the long term of hypospadias repair on voiding and sexual dysfunction. Results:The techniques for hypospadias repair have evolved over the years. The most popular technique now is tubularized incised plate urethroplasty. Long-term results with the use of the new techniques of the hypospadias repair in terms of voiding and sexual problems should be addressed. Conclusion:There is a need for valid studies on the outcomes of hypospadias repair in adults that were performed in childhood in terms of cosmetic appearance, voiding and sexual performance. Keywords: hypospadias, hypospadias surgery, adult, later outcome Surgical techniques for hypospadias repairHypospadias may be defined as a ventral penile hypoplasia with some associated anomalies such as the following: opening of the meatus below the tip of the penis, ventral penile curvature (chordee) and a hooded foreskin with excessive dorsal part. The incidence of hypospadias in the Western countries has been in rise tremendously and is approximately 1 to 150,300 male births. 1The first description of urethral hypoplasia and hypospadias malformation is related to Celsius and Galen, and dates as far back as to the first and second centuries AD.2 The renaissance of hypospadias surgery was established by Thiersch 3 and Duplay 4 during the second part of the 19th century. Since then, hundreds of techniques have evolved, mostly to answer the challenge of creating a functional neourethra. Hypospadias surgical procedure is characterized by three steps: 1. Correction of chordee -straightening of the penis; 2. Urethroplasty -reconstruction of the missing part of the urethra; 3. Restoration of the tissues forming the ventral radius of the penis -the glans, corpus spongiosum, and skin, which finally will lead to the normal cosmetic appearance of the penis. In the majority of cases simple degloving of the penile skin may solve the penile curvature. If chordee persists after penile degloving, dorsal corporal plication is performed in order to straighten the penis. Many surgeons prefer to avoid freeing the urethral plate in order to avoid injury to the blood supply. The authors have previously Research and Reports in Urology downloaded from https://www.dovepress.com/ by 34.214.212.150 on 13-May-2018 For personal use only.

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Tubularized incised-plate urethroplasty for proximal hypospadias

Cited by 49 publications

References 13 publications

Snodgrass Tubularized Incised Plate Urethroplasty for Distal and Midpenile Hypospadias

Snodgrass Tubularized Incised Plate Urethroplasty for Distal and Midpenile Hypospadias

Tubularised Incised Plate Urethroplasty Is An Applicable Method For The Treatment Of Hypospadiac Type Of Urethral Duplication

Outcome of pediatric hypospadias repair in adulthood

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