scholarly journals Evaluation of tunneled tunica vaginalis flap (TVF) used as adjunct in the repair of urethrocutaneous fistula post tubularized incised plate urethroplasty (TIP) technique

2012 ◽  
Vol 9 (1) ◽  
pp. 275-280
Author(s):  
M Khalifa ◽  
I Tantawy ◽  
Amera H Waly ◽  
Salah M Abdelaal
Keyword(s):  
Urethrocutaneous Fistula ◽  
Tunica Vaginalis ◽  
Tubularized Incised Plate ◽  
Tubularized Incised Plate Urethroplasty

Midshaft Hypospadias: Review of Surgical Technique

2019 ◽  
Author(s):  
Erin R. McNamara ◽  
Bryan Sack ◽  
Alan B. Retik
Keyword(s):  
Surgical Technique ◽  
Key Words ◽  
Common Type ◽  
Hypospadias Repair ◽  
Urethrocutaneous Fistula ◽  
Tubularized Incised Plate ◽  
Dartos Flap ◽  
Tubularized Incised Plate Urethroplasty ◽  
Skin Coverage

Surgical technique for midshaft hypospadias has evolved since the time of Horton and Devine. The most common type of repair that is currently used is the tubularized incised plate urethroplasty, which is a modification of the Thiersch-Duplay hypospadias repair. The authors review the steps of this procedure in detail and discuss troubleshooting for issues that may arise during the repair. Alternatives for chordee correction and skin coverage are reviewed. The authors briefly discuss outcomes and possible complications. In addition, there is a step-by-step video of a midshaft hypospadias repair that highlights the surgical technique. This review contains 9 figures, and 23 references. Key Words: chordee, dartos flap, hypospadias, midshaft hypospadias, surgical technique, tubularized incised plate (TIP), urethrocutaneous fistula, ventral curvature

Re: Tunneled Tunica Vaginalis Flap is an Effective Technique for Recurrent Urethrocutaneous Fistulas Following Tubularized Incised Plate Urethroplasty

2008 ◽  
Vol 179 (2) ◽  
pp. 790-791
Author(s):  
Uday Sankar Chatterjee ◽  
Dhananjoy Basak ◽  
Sudip Charan Chakraborty ◽  
Tapan Mandal ◽  
Kuntal Bhaumik
Keyword(s):  
Tunica Vaginalis ◽  
Effective Technique ◽  
Tubularized Incised Plate ◽  
Tubularized Incised Plate Urethroplasty

scholarly journals Management of Distal Penile Hypospadias by Tubularized Incised Plate Urethroplasty: Study Of 30 Cases

2019 ◽  
Vol 18 (1) ◽  
pp. 9-14
Author(s):  
Nasir Uddin Mahmud ◽  
Md Serajul Haque
Keyword(s):  
Wound Dehiscence ◽  
Primary Treatment ◽  
Test Statistics ◽  
Urethrocutaneous Fistula ◽  
College Hospital ◽  
Socioeconomic Condition ◽  
Medical College ◽  
Satisfactory Outcome ◽  
Tubularized Incised Plate ◽  
Tubularized Incised Plate Urethroplasty

Background: Hypospadias is the result of failure of fusion of the urethral folds on the ventral aspect of the penis.It usually occur 1 in every 300 male children.Reconstruction of urethra in childhood is the only hope of cure. The aim of this study is to find out the out.come of tubularized incised plate urethroplasty for distal penile hypospadias and to -~~ow that this procedure will end up in a better cosmetic appearance. Methods: This prospective study was conducted in a private medical college hospital, Comilla between July 2011 to June 2012 on 30 patients using Snodgrass technique of hypospadlas surgery. All cases were consecutively selected. Data were processed and analysed· using software SPSS (Statistical Package for social Sciences) version 11.5 and the test· statistics used to analyse the data were descriptive statistics and Z-test for proportion. The variables studied were age, socioeconomic condition, post-operative complications, such as infection rate, urethrocutaneous fistula, meatal stenosis, wound dehiscence etc. &cosmatic outcome such as size of the meatus, shape of the glans studied. Results: Satisfactory results were obtained in 21 (70%) patients and only 8 (26.67%) had urethrocutaneous fistula, 1(3.33%) had retrusive meatus and 7 (23.33%) had wound infection. The final outcome was evaluated based on urethrocutaneous fistula and cosmesis. Out of 30 patients, 21(70%) did not have urtethrocutaneous fistula and were cosmetically acceptable. Binomial test based on Z-approximation reveals that observed proportion of patients with satisfactory- outcome was statistically significant (p = 0.05). Conclusion: This study concludes that Snodgrass urethroplasty has better cosmetic outcome. Thus we recommended it as the primary treatment for the children with distal hypospadias. Journal of Surgical Sciences (2014) Vol. 18 (1) : 9-14

Tubularized Incised Plate Urethroplasty for the Repair of Distal Hypospadias: A Simple Versatile Technique

2020 ◽  
Vol 20 (2) ◽  
pp. 65-69
Author(s):  
Md Abdus Salam ◽  
ML Rahman ◽  
M Asaduzzaman ◽  
Ms Islam ◽  
Nh Lenin
Keyword(s):  
Functional Outcomes ◽  
Age Group ◽  
Urethrocutaneous Fistula ◽  
Stricture Urethra ◽  
Tubularized Incised Plate ◽  
Versatile Technique ◽  
Tubularized Incised Plate Urethroplasty ◽  
Distal Hypospadias ◽  
Group 2 ◽  
Primary Management

Objective: To observe the outcomes of tubularized incised plate urethroplasty in the primary management of distal hypospadias Materials and Methods: Total 70 patients of age group 2 to 10 years with distal hypospadias were selected for this study from January 2008 to December 2015. They were treated with tubularized incised plate urethroplasty. All patients were followed up immediately and at 4th, 8th and 12th weeks after operation. Results: The satisfactory cosmetic and functional outcomes were observed in 58 patients (82.85%).Urethrocutaneous fistula developed in 10 patients (14.70%) patients and 6 patients (8.82%) were found to develop meatal stenosis. Two patients (2.94%) developed stricture urethra. Overall complications occurred in 20 patients (29.41%). Conclusions: This study demonstrates that tubularized incised plate urethroplasty had excellent cosmetic and functional outcomes and fewer complications in the primary management of distal hypospadias. Bangladesh Journal of Urology, Vol. 20, No. 2, July 2017 p.65-69

scholarly journals Assessment of the outcome of the tubularized incised plate (T.I.P) tech-nique in the management of distal hypospadias; prospective single-centre study

2019 ◽  
Vol 10 (2) ◽  
pp. 1547-1550
Author(s):  
Ahmed Abdulameer Alwan ◽  
Ahmed Ali Obaid ◽  
Hussain T. Ajeel
Keyword(s):  
Surgical Procedure ◽  
Hypospadias Repair ◽  
Urethrocutaneous Fistula ◽  
Single Centre ◽  
Tubularized Incised Plate ◽  
Single Centre Study ◽  
Tubularized Incised Plate Urethroplasty ◽  
Male Patients ◽  
Distal Hypospadias

To assess the consequence of tubularized incised plate urethroplasty on primary hypospadias repair. Total of 42 male patients underwent hypospadias repair in AL-Diwaniyah Teaching Hospital/Iraq. from April 2016 to April 2018. The levels of the hypospadias defect, age at operation, type of sutures and dressing, type of catheter and time of removal and complications were verified. Tubularized incised plate urethroplasty done for all patients and mean patients age at operation was 4.4 years (range 1 year to 8year). Postoperative follow up was 1 to 3 months. Generally, meatal stenosis, dehiscence due to infection and an urethrocutaneous fistula occurred in 3,2and 6 patients, respectively. T.I.P. urethroplasty has come to be the favourite surgical procedure of distal hypospadias cases at our hospital. The technique has a small number of complications in addition to prove success and adaptability that continue to increase its application.

scholarly journals Tunneled Tunica Vaginalis Flap for Recurrent Urethrocutaneous Fistulae

2008 ◽  
Vol 2008 ◽  
pp. 1-3 ◽  
Author(s):  
Jonathan C. Routh ◽  
James J. Wolpert ◽  
Yuri Reinberg
Keyword(s):  
Postoperative Complications ◽  
Hypospadias Repair ◽  
Urethrocutaneous Fistula ◽  
Tunica Vaginalis ◽  
Surgical Time ◽  
Tubularized Incised Plate ◽  
Successful Technique ◽  
Surgical Setting

The tubularized incised plate (TIP) hypospadias repair is currently the most widely used urethroplasty technique. The most significant post-TIP complication is urethrocutaneous fistula (UCF) development. Tunneled tunica vaginalis flap (TVF) is a well-described technique for the repair of UCF. We retrospectively reviewed all patients undergoing repeat repair of UCF after TIP repair from 2001 to 2005. Twelve boys underwent TVF repair at our institution for recurrent UCF. Fistulae ranged from distal penile to penoscrotal in location. Median surgical time was 45 minutes and no postoperative complications occurred. After a median follow-up of 32 months (range 16–48 months), no patient has yet had a recurrence of UCF. In conclusion, TVF repair is a successful technique for the treatment of UCF after previous failed repair. TVF is technically simple to perform and should be considered for treating UCF following TIP urethroplasty, particularly in a repeat surgical setting.

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