Tubularized incised plate urethroplasty results in patients with proximal hypospadias

Year 2015, Volume: 42 Issue: 4, 455 - 458, 08.01.2016

Yasin Aydoğmuş Arif Aydın Tolga Karakan Mümtaz Dadalı Şahin Bağbancı Mücahit Kabar Melih Sunay Ahmet Hasçiçek Erim Ersoy R. Cankon Germiyanoğlu

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

References

• Snodgrass W. Tubularized, incised plate urethroplasty for distal hypospadias. J Urol 1994;151:464-465.
• Guralnick L, al-Shammari A, Williot PE, et al. Outcome of
• hypospadias repair using the tubularized, incised plate urethroplasty.
• Can J Urol 2000;7:986-991.
• Snodgrass W, Koyle M, Manzoni G, et al. Tubularized incised plate hypospadias repair: results of a multicenter experience. J Urol 1996;156:839-841.
• Yang SS, Chen SC, Hsieh CH, et al. Reoperative Snodgrass procedure. J Urol 2001;166:2342-2345.
• Backus LH, Defelice CA. Hypospadias-then and now. Plast Reconstr Surg Transplant Bull 1960;25:146-160.
• King L.R. Hypospadias--a one-stage repair without skin graft based on a new principle: chordee is sometimes produced by the skin alone. J Urol 1970;103:660-662.
• Nesbit RM. Operation for correction of distal penile ventral
• curvature with or without hypospadias. J Urol 1967;97:720-722.
• Sadlowski RW, Belman AB, King LR. Further experience with one-stage hypospadias repair. J Urol 1974;112:677-680.
• Kass EJ, Chung K. Glanuloplasty and in situ tubularization of the urethral plate: long-term followup. J Urol 2000;164:991-993.
• van Horn AC, Kass EJ. Glanuloplasty and in situ tubularization
• of the urethral plate: a simple reliable technique for the majority of boys with hypospadias. J Urol 1995;154:1505-1507.
• Bleustein CB., Esposito MP., Soslow, R. A. et al. Mechanism of healing following the Snodgrass repair. J Urol 2001;165:277-279.
• Genc A, Taneli C, Gunsar C, et al. Histopathological evaluation
• of the urethra after the Snodgrass operation: an experimental
• study in rabbits. BJU Int 2002;90:950-952.
• Snodgrass WT. Hypospadias. In: McDougal, W. S, Wein A. J, Kavoussi L. R. et al. Campbell-Walsh Urology 10th Edition Review: Elsevier Health Sciences, 2011:3503-3536.
• Chen SC, Yang SS, Hsieh CH, et al. Tubularized incised plate urethroplasty for proximal hypospadias. BJU Int 2000;86:1050-1053.
• Borer J. G, Bauer S. B, Peters C. A. et al. Tubularized incised
• plate urethroplasty: expanded use in primary and repeat surgery for hypospadias. J Urol 2001;165:581-585.
• Mustafa M, Wadie BS, Abol-Enein H. Dorsal dartos flap in Snodgrass hypospadias repair: how to use it? Urol Int 2008;81:215-217.
• Mustafa M, Wadie B.S, Abol-Enein H. Standard Snodgrass
• technique in conjunction with double-layer covering of the
• neourethra with dorsal dartos flap is the therapy of first
• choice for hypospadias. Int Urol Nephrol 2008;40:573-576.
• Braga L H, Pippi Salle, J L Lorenzo A. J. et al. Comparative
• analysis of tubularized incised plate versus onlay island flap urethroplasty for penoscrotal hypospadias. J Urol 2007;178:1451-1456.
• Snodgrass W, Yucel S. Tubularized incised plate for mid shaft
• and proximal hypospadias repair. J Urol 2007;177:698-702.
• Zeytun H, Yiğiter M, Salman AB. The comparison of results
• of our surgical techniques in the hypospadias treatment; a retrospective study. Dicle Med J 2013;40:269-274.