scholarly journals Comparison of Urethrocutaneous Fistula Rate After Single Dartos and Double Dartos Tubularized Incised Plate Urethroplasty in Pediatric Hypospadias

Cureus ◽  
2021 ◽  
Author(s):  
Fatima Naumeri ◽  
Malik Asad Munir ◽  
Hafiz Mahmood Ahmad ◽  
Muhammad Sharif ◽  
Nukhbat U Awan ◽  
...  
Keyword(s):  
Urethrocutaneous Fistula ◽  
Tubularized Incised Plate ◽  
Tubularized Incised Plate Urethroplasty ◽  
Fistula Rate

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

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

scholarly journals What is the best choice for repair of distal penile hypospadias: The tubularized incised plate urethroplasty or anterior urethral advancement technique?

2007 ◽  
Vol 40 (02) ◽  
pp. 182-188
Author(s):  
Mohamed M.S Awad ◽  
Adel M Tolba ◽  
Khaled M Saad ◽  
Zaghlol R Mahmoud ◽  
Ahmed Ezzat Rozigque ◽  
...  
Keyword(s):  
Operative Time ◽  
Good Choice ◽  
Short Operative Time ◽  
Tubularized Incised Plate ◽  
Significant Difference ◽  
Good Cosmetic ◽  
Group A ◽  
Tubularized Incised Plate Urethroplasty ◽  
Fistula Rate ◽  
Group B

ABSTRACT Background and Aim: Numerous ingenious methods have been introduced to repair hypospadias with variable results. we tried to evaluate the two techniques, tubularized incised plate urethroplasty (tip) and anterior urethral advancement (aua) for repair of distal hypospadias and choose the best method to treat the distal type of penile hypospadias with the least complications.Materials and methods :A total of 140 boys with distal penile hypospadias were divided into two groups. group a (68 patients) was treated with tip and group b (72 patients) was treated with aua. all the patients had an average age of three years (2-19) with variable meatal sites coronal (44) sub coronal (53) and anterior penile hypospadias (43). there was no significant difference between both groups with respect to the age and meatal sites.Results: The fistula rate in group a was 8.8% versus 1.3% in group b. there was no urethral stricture in both procedures. wound dehiscence did not occur in group a versus one case in group b (1.3%). in group a, 26 cases (38.3%) had mild glanular torsion and five (7.3%) had moderate glanular torsion versus none in group b postoperatively. no postoperative chordee or binding in group a, versus four patients (5.5%) in group b. no significant difference was observed in both groups with respect to meatal stenosis (7.3% versus 5.5% respectively). there was a significant difference between both groups with regard to the operative time in favour of group b. good cosmetic appearance of the glans was achieved in both techniques.Conclusion: Both techniques can treat this anomaly with a high success rate but the modified aua technique appears to be a good choice due to its simplicity, short operative time and less fistula rate with good cosmetic results.

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 Snodgrass Tubularized Incised Plate Urethroplasty for Distal and Midpenile Hypospadias

2014 ◽  
Vol 34 (1) ◽  
pp. 29-33
Author(s):  
B Thapa ◽  
M Pun
Keyword(s):  
Wound Dehiscence ◽  
Functional Results ◽  
Urethrocutaneous Fistula ◽  
Meatal Stenosis ◽  
Tubularized Incised Plate ◽  
Duration Of Surgery ◽  
Urinary Stream ◽  
Tubularized Incised Plate Urethroplasty ◽  
Male Patients ◽  
Repair Techniques

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. DOI: http://dx.doi.org/10.3126/jnps.v34i1.8692 J Nepal Paediatr Soc 2014;34(1):29-33

scholarly journals Comparative study between two days versus seven days urethral stenting of distal hypospadias after tubularized incised plate urethroplasty

2021 ◽  
Vol 8 (4) ◽  
pp. 1085
Author(s):  
Tamer Fakhry ◽  
Ahmed Mohammad Amer ◽  
Ahmed Nabil Fawzy
Keyword(s):  
Postoperative Complications ◽  
Wound Dehiscence ◽  
Urethrocutaneous Fistula ◽  
Cosmetic Results ◽  
Tubularized Incised Plate ◽  
Significant Difference ◽  
Operative Complications ◽  
Tubularized Incised Plate Urethroplasty ◽  
Distal Hypospadias ◽  
One Year

Background: The duration of urethral stenting after tubularized incised plate (TIP) urethroplasty for hypospadias varies among surgeons.Methods: Forty male cases with distal hypospadias aging from one year till the age of six years randomly allocated into two groups for undergoing tubularized incised plate urethroplasty with removal of the urethral stent after two days in one group and after seven days in the other one. The rate of postoperative complications such as urethrocutaneous fistula, urinary retention, meatal stenosis and complete wound dehiscence requiring redo and cosmetic results were compared.Results: The prevalence of post-operative complications and cosmetic results in two studied groups were not significantly different.Conclusions: There is no significant difference between removal of the stent after two days or seven days regarding the incidence of postoperative complications and the cosmetic results.

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