Versatility of tubularized incised plate urethroplasty in the management of different types of hypospadias: 5-year experience

Al-Saied, Gamal; Gamal, Ahmed

doi:10.4103/0189-6725.54770

Cited by 16 publications

(8 citation statements)

References 22 publications

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“…In 2008, Bhat and Mandal [6] reported that fistula closure should be undertaken after 3-6 months. Surgery for fistula repair was successful in all patients [32]. Our results are in agreement with these results.…”

Section: Distal Hypospadias Repair With Tips Abdelmoneim Ali Gafar 119supporting

confidence: 90%

“…The rate of complications can be reduced by using polydioxanone sutures in urethroplasties [30]. The overall incidence of UCF has been reported to be 1-30% and that of meatal stenosis, 7-10%; disruption of the repair and infection are the other possible complications [31,32]. These figures are higher than those obtained in our results; this may be because of inclusion of patients with more proximal defects and redo surgeries.…”

Section: Distal Hypospadias Repair With Tips Abdelmoneim Ali Gafar 119mentioning

confidence: 51%

“…Meatal stenosis rates after TIP urethroplasty ranged between 6.2 and 12%, and most patients with meatal stenosis responded well to regular urethral dilatation [20,32]. In 2002, Elbakry [34] reported that regular urethral calibration postoperatively should be considered as an integral part of TIP urethroplasty to prevent meatal stenosis.…”

Section: Distal Hypospadias Repair With Tips Abdelmoneim Ali Gafar 119mentioning

confidence: 99%

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Two different suturing techniques in distal hypospadias repair using tubularized incised plate urethroplasty

Gafar¹

2013

Annals of Pediatric Surgery

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Section: Distal Hypospadias Repair With Tips Abdelmoneim Ali Gafar 119supporting

confidence: 90%

Section: Distal Hypospadias Repair With Tips Abdelmoneim Ali Gafar 119mentioning

confidence: 51%

Section: Distal Hypospadias Repair With Tips Abdelmoneim Ali Gafar 119mentioning

confidence: 99%

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Two different suturing techniques in distal hypospadias repair using tubularized incised plate urethroplasty

Gafar¹

2013

Annals of Pediatric Surgery

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“…Therefore, TIP urethroplasty is a technique with a low complication rate for correcting distal hypospadias by tubularizing the incised urethral plate to create a vertical meatus [2]. In both Mathieu's and tubularized incised plate urethroplasty, the urethral plate is used which makes the postrepair appearance regarding glans shape and external meatus near to natural [3]. The choice between the procedures depends more on surgeon's experience rather than scientific evidence.…”

Section: Introductionmentioning

confidence: 99%

Comparative Study of Snodgrass and Mathieu’s Procedure for Primary Hypospadias Repair

2014

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Objective. Present study was undertaken to compare the results of two single stage hypospadias repairs, namely, Tubularized Incised Plate (TIP) repair and Mathieu's repair. Methods. The study included 100 patients of distal penile hypospadias, from January, 2008 to January, 2013. After a detailed history, local examination was performed with reference to the site of meatus, shape of glans, and presence of chordee. TIP repair was performed in 52 patients and Mathieu's repair in 48 patients. On follow-up, the patients were examined for the position of meatus, shape of meatus, urinary stream, urethrocutaneous fistula, and stricture formation. Results. The mean age of presentation was 6.2 ± 3.2 years (range 1.5–15years). The mean operative time was 63.7 ± 14.3 (45–90) minutes and 95.0 ± 19.1 (70–125) minutes in TIP and Mathieu's repair, respectively.Complications after surgery were urethero cutaneous fistula in 3(5.76%) and 7 (14.5%), meatal stenosis in 3(5.33%) and 4(8.33%), wound infection in 19.2% and 8.3% cases in TIP repair and Mathieu repair, respectively. The shape of meatus was slit-like and vertically oriented in 48(92.3%) patients who had undergone TIP repair. Conclusion. The Snodgrass repair is significantly faster, with more natural cosmetic appearance of the meatus than the Mathieu's repair.

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“…The goal of hypospadias surgery is a penis that is func onally and cosme cally normal. This is achieved by construc ng a straight penis with meatus as close as possible to normal site with proper shape to allow a forward directed stream and normal coitus 9,10 .…”

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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Versatility of tubularized incised plate urethroplasty in the management of different types of hypospadias: 5-year experience

Abstract: TIP urethroplasty with neourethral coverage using a vascularized pedicle of dartos flap is versatile and simple operation in management of different types of hypospadias. It has a good functional and cosmetic outcome.

Cited by 16 publications

References 22 publications

Two different suturing techniques in distal hypospadias repair using tubularized incised plate urethroplasty

Two different suturing techniques in distal hypospadias repair using tubularized incised plate urethroplasty

Comparative Study of Snodgrass and Mathieu’s Procedure for Primary Hypospadias Repair

Snodgrass Tubularized Incised Plate Urethroplasty for Distal and Midpenile Hypospadias

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