Dorsal Vertical Island Tube Urethroplasty in Children With Hypospadias- Our Experience In 60 Patients.
Journal Title: IJAR-Indian Journal of Applied Research - Year 2015, Vol 5, Issue 3
Abstract
Aim:To assess the results and complications of dorsal vertical island tube (DVIT) Urethroplasty. Patients& Methods: 201 patients were operated for hypospadias in two referral hospitals during the period of F-ebru ary 2008- March 2013.Out of 201 children 30 were with peno scrotal,7with scrotal and14 with proximal penile having severe chordee, required two staged urethroplasty.In 26 babies with glanular or coronal hypospadias MAGPI procedure was done. In 64 babies with mid and distal penile hypospadias with healthy urethral plate, tubularisedincised urethra plate urethroplasty(TIP) was done. Rest of 60 babies with mid or distal penile hypospadias with unhealthy urethral plate or requiring urethral plate excision due to chordee, were choosed for dorsal vertical tube urethroplasty. These 6-0 ba bies with DVIT were followed up for at least 12 months to assess complications like urethrocutaneous fistula, meatal stenosis, megalo urethra or urethral diverticulum, stricture, penile torsion/rotation. Results: A total of 60 patients with mid or distal penile hypospadias in whom DVIT was used during the study period were included in the study. The mean age was 3.8years ranging from 8months to 12years.All patients were followed up for minimum of one year. Eleven patients developed complications (18.3%). Commonest complication Urethrocutaneous fistula was seen in six patients (10.0%).Three patients d Meatalstenosis (5%).two patients developed diverticulum (3.3%). In 49 patients stream Was good, no fistulas, on torsion, no skin necrosis, no glans dehiscence occurred during the follow up. Conclusions: Dorsal vertical island tube is good alternate toTIP, in mid and distal penile hypospadias, where urethral plate is unhealthy or excised to correct chordee. We report DVIT has acceptable rate of complications and good cosmetic results.
Authors and Affiliations
Chalapati G, Sitharamaiah K
Keywords
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