The Use of Tubularized Incised Plate Urethroplasty to Repair Distal Hypospadias in A Peripheral State Hospital
Journal Title: Journal of Urological Surgery - Year 2019, Vol 6, Issue 3
Abstract
Objective: Hypospadias is a congenital anomaly of the male urethra that is becoming increasingly prevalent. In this paper, we share the results of our series of 45 distal hypospadias cases treated with tubularized incised plate urethroplasty (TIPU) at a single center in Şanlıurfa, Turkiye. Materials and Methods: Hypospadias repairs were made by two urologists who had completed their urology residencies at the same clinic in a state hospital. The TIPU technique was used for all 45 patients. To prevent bladder contractions and reduce anal itching during hospitalization, the patients were administered low-dose oxybutynin and 2 mg/mL hydroxyzine hydrochloride; they were also followed up postoperatively for a mean duration of 9.3 (6-12) months. Results: The average age of the patients was 9.5±0.5 (2-24) years. Ten patients had been circumcised previously, preoperative skin chordee was observed in 35, and none experienced preoperative complications. Postoperative catheterization lasted seven days. Postoperatively, one patient developed a fistula and two developed meatal strictures. No other complications were observed in the other patients. Conclusion: Hypospadias is an anomaly frequently seen in pediatric urology practice and requires considerable attention and experience. TIPU is an ideal technique for correcting hypospadias, especially distal hypospadias, due to its low complication rate and favorable cosmetic results. Although hypospadias surgery requires experience, it can be done quite easily in peripheral hospitals by surgeons who have trained in clinics experienced in this field, provided that they follow the rules pertaining to surgery.
Authors and Affiliations
Arif Aydın, Mehmet Giray Sönmez, Mehmet Büyükşerbetçi, Remzi Salar, Serkan Özcan, Yunus Emre Göğer, Mehmet Balasar
Keywords
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- EP ID EP50496
- DOI 10.4274/jus.galenos.2019.2388
- Views 268
- Downloads 0
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