G R Sharma Onkar Nilayam, 3/27 Samarth Nagar, North Sadar Bazar, Behind Civil Hospital, Solapur 413003, Maharashtra India
Source of Support: None, Conflict of Interest: None
Objective: To describe the tubularized incised plate (TIP) urethroplasty for distal and midshaft hypospadias. To describe certain technical aspects to decrease the incidence of meatal stenosis and urethrocutaneous fistula.
Methods: TIP urethroplasty was undertaken in 35 patients in the last three years. The age ranged from two to 26 years. Nineteen cases were distal penile and 16 were midshaft hypospadias. Five cases had undergone a repair previously. Certain technical points were strictly adhered to during the TIP urethroplasty so as to achieve a normal slit like meatus and to decrease the incidence of meatal stenosis and urethrocutaneous fistula.
Results: The catheter was removed after 10 days. Average follow up was six months. There was complete dehiscence of the repair in one patient. One patient had superficial extravasation of urine. Meatal stenosis was seen in the first two cases. Fistula was seen in three patients. The patients with a successful repair voided with a single straight urinary stream in a forward direction and had a normally situated slit like glanular meatus.
Conclusions: TIP urethroplasty is a versatile, simple operation with good cosmetic results. Certain technical considerations if strictly adhered to help in preventing complications and achieve a satisfactory result.