Tubularized incised plate urethroplasty (TIP) for distal and midshaft hypospadias a preliminary experience

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 y...

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Main Author: G R Sharma
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2004-01-01
Series:Indian Journal of Urology
Subjects:
Online Access:http://www.indianjurol.com/article.asp?issn=0970-1591;year=2004;volume=20;issue=2;spage=15;epage=18;aulast=Sharma
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author G R Sharma
author_facet G R Sharma
author_sort G R Sharma
collection DOAJ
description 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.
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spelling doaj.art-f97b8cefeb5349e69e80a4987346e61c2022-12-22T00:13:17ZengWolters Kluwer Medknow PublicationsIndian Journal of Urology0970-15911998-38242004-01-012021518Tubularized incised plate urethroplasty (TIP) for distal and midshaft hypospadias a preliminary experienceG R SharmaObjective: 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.http://www.indianjurol.com/article.asp?issn=0970-1591;year=2004;volume=20;issue=2;spage=15;epage=18;aulast=SharmaHypospadiasUrethral platedorsal incisionmeatustubularized incised-plate.
spellingShingle G R Sharma
Tubularized incised plate urethroplasty (TIP) for distal and midshaft hypospadias a preliminary experience
Indian Journal of Urology
Hypospadias
Urethral plate
dorsal incision
meatus
tubularized incised-plate.
title Tubularized incised plate urethroplasty (TIP) for distal and midshaft hypospadias a preliminary experience
title_full Tubularized incised plate urethroplasty (TIP) for distal and midshaft hypospadias a preliminary experience
title_fullStr Tubularized incised plate urethroplasty (TIP) for distal and midshaft hypospadias a preliminary experience
title_full_unstemmed Tubularized incised plate urethroplasty (TIP) for distal and midshaft hypospadias a preliminary experience
title_short Tubularized incised plate urethroplasty (TIP) for distal and midshaft hypospadias a preliminary experience
title_sort tubularized incised plate urethroplasty tip for distal and midshaft hypospadias a preliminary experience
topic Hypospadias
Urethral plate
dorsal incision
meatus
tubularized incised-plate.
url http://www.indianjurol.com/article.asp?issn=0970-1591;year=2004;volume=20;issue=2;spage=15;epage=18;aulast=Sharma
work_keys_str_mv AT grsharma tubularizedincisedplateurethroplastytipfordistalandmidshafthypospadiasapreliminaryexperience