Fulltext

14- EVALUATION OF THE TUBULARIZED INCISED PLATE URETHROPLASTY (TIP) FOR REPAIR OF DISTAL HYPOSPADIAS�

Firas S AttarV

Basrah Journal of Surgery مجلة البصرة الجراحية
ISSN: 16833589 Year: 2009 Volume: 15 Issue: 1 Pages: 81-85
Publisher: Basrah University جامعة البصرة

Abstract

This study aimed to describe the tubularized incised plate (TIP) urethroplasty method for distalhypospadias repair and to describe certain technical aspects to decrease the incidence ofcomplications such as meatal stenosis and urethrocutaneous fistula.Tubularized incised plate urethroplasty was undertaken in 25 patients in the last three years.The age of patients ranged from one to 7 years. Three cases had undergone a previous repair.Certain technical points were strictly adhered to during the TIP urethroplasty so as to achieve anormal slit like meatus and to decrease the incidence of meatal stenosis and urethrocutaneousfistula. The procedure included placement of transurethral catheter which was removed after 7days. Average follow up was three months. There was complete dehiscence of the repair in twopatients. Meatal stenosis was seen in two cases. Fistula was seen in three patients. Thepatients with a successful repair could void with a straight urinary stream in a forward directionand had a normally situated slit like glanular meatus.It is concluded that TIP urethroplasty is a simple operation with good cosmetic results. Certaintechnical considerations if strictly adhered to, help in preventing complications and achieve asatisfactory result.

Keywords

TUBULARIZED --- URETHROPLASTY --- TIP L --- HYPOSPADIAS