Surgical Correction of Hypospadias Using Tubularized Incised Plate Urethroplasty.
- Author:
Joon Hyung SEO
1
;
Young Jin SEO
;
Sung Kwang CHUNG
Author Information
1. Department of Urology, College of Medicine, Kyungpook National University, Daegu, Korea. skchung@knu.ac.kr
- Publication Type:Original Article
- Keywords:
Urethra;
Hypospadias;
Urethroplasty;
Hypospadias repair
- MeSH:
Catheters;
Child;
Constriction, Pathologic;
Female;
Fistula;
Humans;
Hypospadias*;
Inlays;
Male;
Postoperative Complications;
Skin;
Stents;
Urethra
- From:Korean Journal of Urology
2002;43(10):858-861
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Numerous operative techniques have been developed to correct hypospadias. Tubularized incised plate (TIP) urethroplasty has recently been reported with good results. We analyzed the surgical outcome and complications in children with hypospadias using TIP urethroplasty. MATERIALS AND METHODS: Between July 1998 and July 2001, 28 patients with hypospadias were primarily corrected using TIP urethroplasty by one surgeon. The mean age of the patients was 4.2 years. A position of the meatus was coronal in six boys, at the posterior penile shaft in five, glandular in four, penoscrotal in four, at the anterior penile shaft in three, at the midshaft in three and the perineal in three. An 8 or 10 Fr Foley catheter was used as a urethral stent, which was removed at day 12 (10-15). RESULTS: Of the 28 patients, 23 were corrected with TIP urethroplasty only, and the other 5 combined with an onlay island flap. For the management of penile curvature, skin and ventral releases were used in 14 patients; with tunica albuginea placation used in the other 14. Postoperative complications were noted in 3 patients, of whom 2 developed urethrocutaneous fistula and one developed meatal stricture. The cosmetic results were very good in most patients. CONCLUSIONS: TIP urethroplasty can be used for all type of hypospadias. It has advantages, such as an excellent cosmetic appearance, preservation of the urethral plate and a lower complication rate than other urethroplasty techniques. Our results suggest that this technique is recommendable for the management of primary hypospadias as a first choice.
