Tubularized incised plate urethroplasty results in patients with proximal hypospadias

Authors : Yasin AYDOĞMUŞ, Arif AYDIN, Tolga KARAKAN, Mümtaz DADALI, Şahin BAĞBANCI, Mücahit KABAR, Melih SUNAY, Ahmet HASÇİÇEK, Erim ERSOY, R. Cankon GERMİYANOĞLU

Pages : 455-458

Doi:10.5798/diclemedj.0921.2015.04.0608

View : 22 | Download : 7

Publication Date : 2016-01-08

Article Type : Research Paper

Abstract :Objective :  To evaluate the results of the patients with primary proximal hypospadias repaired by “tubularized incised plate” urethroplasty (TIPU). Methods:  Thirty-three patients who were operated with TIPU technique in our clinic between 2003-2011 for primary hypospadias with proximal penile and penoscrotal meatus were retrospectively evaluated. Evaluation of the success in this study was, “voiding without fistula”. Results:  Mean age was 6.82±3.07 (1-13). Fifteen patients (45.4%) had penoscrotal and 18 patients (54.6%) had proximal penil meatus. Postoperative success was evaluated with direct vision of voiding at the time of un-catheterization, 2 weeks and 6 months after un-catheterization. Success rates were 5/15 and 10/18 after the first repair in the level penoscrotal and proximal penil, respectively. Overall success rate was 45.5% after the first repair. Patients with urethral fistula after first repair were undergone second repair, success rates were increased to 9/15 and 16/18 in the levels of penoscrotal and proximal penil, respectively. Overall success rate after second repair was 75.8%. Conclusion:  TIPU may be confidently applied for the patients with proximal hypopadias in experienced clinics, if there is not an uretral cordi or/and abnormality in the development of urethral plate. Key words:  Proximal, hypospadias, tubularize incised plate urethroplasty
Keywords : Proksimal, hipospadyas, tübülarize insize plate üretroplasti