Objective: To determine the outcome of tubularized incised-plate (TIP) urethroplasty for one stage hypospadia repair in children. Material & methods: A 7-year retrospective experience at Hasan General Sadikin Hospital Bandung on the outcome of tubularized incised plate for one-stage hypospadias repair in children during 2009-2015. Results: A total of 102 children was undergone one stage hypospadias repair with TIP urethroplasty. The mean age was 6.97 years old. As much as 65 (63.72%) children had distal, and 37 (36.28%) children had proximal hypospadia. The mean length of surgery was 112.56 minutes. Post operative complications was rarely found, consisting of 5 (6.32%) children had urethrocutaneus fistula formation and 11 (13.9%) children had haematoma. 4 (10.81%) children with proximal hypospdia and 1 (1.53%) children with distal hypospadia had urethrocutaneus fistula formation. 4 (6.15%) children with distal hypospadia and 7 (18.91%) children with proximal hypospadia had haematoma. Conclusion: Tubularized incised-plate (TIP) urethroplasty for one stage hypospadia repair in children was highly effective with rare complications comparable with recently published study.
Hypospadia, tubularized incised-plate, complications
Sweet RA, Schrott HG, Kurland R. Study of incidence of hypospadias in Rochester, Minnesota 1940–1970, and a case control comparison of etiological factors. Mayo Clin Proc. 1974; 49: 52–8.
Snodgrass W. Tubularized incised plate urethroplasty for distal hypospadias. J Urol. 1994; 151: 464–5.
Rich MA, Keating MA, Snyder HM III, Duckett JW. Hinging the urethral plate in hypospadias meatoplasty. J Urol. 1989; 142: 1551–3.
Snodgrass W, Koyle M, Menzoni G. Tubularized incised plate repair: Results of a multicenter experience. J Urol. 1996; 156: 839–41.
Wilcox D, Samuel M. Tubularized incised-plate urethroplasty for distal and proximal hypospadias. BJU Int. 2013; 92: 783–5.
Attar F. Evaluation of the tubularized incised plate urethroplasty (TIP) for repair of distal hypospadias. Bas J Surg; 2009. p. 81–85.
Milicevic R, Bojanovic M, Karadzic D. Our experience with tubularized incised plate urethroplasty for distal and mid-penile hypospadias. Ada Media Mediane. 2003; 42: 35–38.
Dukett JW. Hypospadias. In: Walsh PC, Gittes RF, Perlmutter AD, Stamey TA (eds): Campbell's Urology, 7th Ed. Philadelphia: Saunders. 1998; 68: 2093–119.
Borer JG, Bauer SB, Peters CA. Tubularized incised plate urethroplasty expanded use in proximal and repeat surgery for hypospadias. J Urol. 2001; 165: 581–5.
Bracka A. Hypospadias repair: The two stage alternative. Br J Urol. 1995; Supp 3: 31–41.