RELATION BETWEEN COMPLICATING FACTORS OF HYPOSPADIA AND COMPLICATIONS AFTER TIP: A RETROSPECTIVE STUDY
##plugins.themes.bootstrap3.article.main##
##plugins.themes.bootstrap3.article.sidebar##
Abstract
Objective: This study aims to find an association between hypospadias complicating factor for complications that occurred after hypospadias reconstruction, focusing on tubularized incised plate (TIP) as reconstruction techniques are most commonly used. Material & methods: The study data was obtained from medical records of urologic hypospadias patients in Cipto Mangunkusumo General Hospital, Jakarta. Samples are those who underwent hypospadias reconstruction in Cipto Mangunkusumo General Hospital, since April 2002 until May 2014 with a total sampling method. Data were analyzed using SPSS ver 14. Results: We collected 127 patients who underwent the TIP technique with a mean patient age and treatment duration was 7.58 years and 10.95 days. Fistule is the most common complication in patients with post-TIP hypospadias accounting for as high as 32 (25.2%). Bivariate analysis showed a significant correlation between the location of the hypospadias meatus (distal) with torsion of the penis (n = 2; p 0.019). Conclusion: On the basis of the technical complications TIP, such as fistules, meatus stenosis, urethral stricture, torsion of the penis, and glans dehiscence, then the indication for TIP should be clear or selective.
##plugins.themes.bootstrap3.article.details##
hypospadias, complications, TIP
Mousavi SA, Aarabi M. Tubularized incised plate urethroplasty for hypospadias reoperation: a review and meta-analysis. International braz j urol: Official Journal of the Brazilian Society of Urology. 2014; 40(5): 588-95.
Caione P. Prevalence of Hypospadias in European Countries: Is it increasing? Eur Urol. 2009; 55: 1027-30.
Paulozzi LJ, Erickson JD, Jackson RJ. Hypospadias trends in two US surveillance systems. Pediatrics. 1997; 100(5): 831-4.
Yeap BH, Mohan N. Hypospadias from the perspective of a single-surgeon practice in Malaysia. The Medical Journal of Malaysia. 2008; 63(5): 388-90.
Baskin LS. Hypospadias and urethral development. The Journal of Urology. 2000; 163(3): 951-6.
Urologi D. Rekapitulasi Pasien Hipospadia di Departemen Urologi RSCM. 2014.
Snodgrass W. Tubularized, incised plate urethroplasty for distal hypospadias. The Journal of Urology. 1994; 151(2): 464-5.
Cook A, Khoury AE, Neville C, Bagli DJ, Farhat WA, Pippi Salle JL. A multicenter evaluation of technical preferences for primary hypospadias repair. The Journal of Urology. 2005; 174(6): 2354-7, discussion 7.
Sujijantararat P, Chaiyaprasithi B. Comparative outcome between transverse island flap onlay and tubularized incised plate for primary hypospadias repair. Asian J Surg. 2009; 32(4): 229-33.
Rompre MP, Nadeau G, Moore K, Ajjaouj Y, Braga LH, Bolduc S. Learning curve for TIP urethroplasty: A single-surgeon experience. Canadian Urological Association journal = Journal de l'Association des urologues du Canada. 2013; 7(11-12): E789-94.
Braga LH, Pippi Salle JL, Lorenzo AJ, Skeldon S, Dave S, Farhat WA, et al. Comparative analysis of tubularized incised plate versus onlay island flap urethroplasty for penoscrotal hypospadias. J Urol. 2007; 178(4Pt1): 1451-6, discussion 6-7.
Ghanem MA, Nijman RJ. Outcome analysis of tubularized incised urethral plate using dorsal dartos flap for proximal penile hypospadias repair. Journal of Pediatric Urology. 2010; 6(5): 477-80.
Lorenzo AJ, Snodgrass WT. Regular dilatation is unnecessary after tubularized incised-plate hypospadias repair. BJU International. 2002; 89(1): 94-7.
Stehr M, Lehner M, Schuster T, Heinrich M, Dietz HG. Tubularized incised plate (TIP) urethroplasty (Snodgrass) in primary hypospadias repair. European Journal of Pediatric Surgery: Official Journal of Austrian Association of Pediatric Surgery = Zeitschrift fur Kinderchirurgie. 2005; 15(6): 420-4.
Snodgrass WT, Bush N, Cost N. Glans dehiscence after hypospadias repair; 2009.
Snodgrass W, Bush N. Tubularized incised plate proximal hypospadias repair: Continued evolution and extended applications. Journal of Pediatric Urology. 2011; 7(1): 2-9.
Macedo A, Jr., Rondon A, Ortiz V. Hypospadias. Current opinion in urology. 2012; 22(6): 447-52.
Mane S, Arlikar J, Dhende N. Modified tubularized incised plate urethroplasty. Journal of Indian Association of Pediatric Surgeons. 2013; 18(2): 62-5.
Bertozzi M, Yildiz A, Kamal B, Mustafa M, Prestipino M, Yigiter M, et al. Multicentric experience on double dartos flap protection in tubularized incised plate urethroplasty for distal and midpenile hypospadias. Pediatric Surgery International. 2011; 27(12): 1331-6.
Snodgrass WT, Bush N, Cost N. Tubularized incised plate hypospadias repair for distal hypospadias. Journal of Pediatric Urology. 2010; 6(4): 408-13.