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ORIGINAL ARTICLE
Year : 2015  |  Volume : 5  |  Issue : 4  |  Page : 195-198

Comparison between tubularized incised plate urethroplasty and other types of urethroplasty for mid and distal penile hypospadias


Department of Surgery, LLRM Medical College, Meerut, Uttar Pradesh, India

Correspondence Address:
Dr. Anju Verma
Senior Resident, Department of Surgery, LLRM Medical College, Meerut - 250 004, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-9596.174656

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Background: Hypospadias is a common congenital anomaly seen in the male child. The aim of this study was to compare tubularized incised plate (TIP) urethroplasty and other types of single stage urethroplasty for mid and distal penile hypospadias. Patients and Methods: Seventy-seven patients having mid and distal penile hypospadias were assessed prospectively and retrospectively from March 2010 to September 2014. The study had retrospective (March 2010-February 2013) and prospective (April 2013-September 2014) divisions. Forty-four patients underwent surgical repair using TIP technique and 33 patients, using other urethroplasties (Mathieu, meatal advancement and glanuloplasty incorporation, and Asopa techniques). Patients were reviewed at 2 weeks, 1-month, and 3 months after discharge. Data including fistula formation, cosmetic disfigurement, and duration of the surgery were collected and the two groups were compared. Results: In both retrospective and prospective groups, TIP urethroplasty has a better outcome than other type of urethroplasties for both mid and distal hypospadias. The fistula formation rates were 31.82% (7) and 64.70% (11) in distal and 31.82% (7) and 62.5% (10) in mid hypospadias in TIP and other urethroplasty group, respectively, significant result in distal hypospadias. The cosmetic disfigurement rates were 5.88% (1) and 17.64% (3) in distal and 9.09% (2) and 18.75% (3) in mid hypospadias in TIP and other urethroplasty group, respectively. Mean operative time duration in TIP urethroplasty was 90.79 min and 110.15 min in other urethroplasty group and was statistically significant. Conclusion: TIP urethroplasty is a simple procedure for treatment of both mid and distal penile hypospadias, with less complications and satisfactory results as compared to other urethroplasties. Cosmetic appearance of urethral meatus was also more satisfactory with TIP urethroplasty than other urethroplasties.


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