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

Abstract

This study aimed to describe the tubularized incised plate (TIP) urethroplasty method for distal hypospadias repair and to describe certain technical aspects to decrease the incidence of complications 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 a normal slit like meatus and to decrease the incidence of meatal stenosis and urethrocutaneous fistula. The procedure included placement of transurethral catheter which was removed after 7 days. Average follow up was three months. There was complete dehiscence of the repair in two patients. Meatal stenosis was seen in two cases. Fistula was seen in three patients. The patients with a successful repair could void with a straight urinary stream in a forward direction and had a normally situated slit like glanular meatus. It is concluded that TIP urethroplasty is a simple operation with good cosmetic results. Certain technical considerations if strictly adhered to, help in preventing complications and achieve a satisfactory result.

Keywords

• tubularized
• urethroplasty
• hypospadias