Tubularised Incised Plate Urethroplasty with Spongioplasty and Tunica Vaginalis Flap in Hypospadias Repair- A Case Series of 30 Cases
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 5
Abstract
Abstract: The objective of the study was to evaluate the cosmetic and functional results of tabularised incised plate (tip) urethroplasty with spongioplasty and tunica vaginalis flap in hypospadias repair. From February 2008 to February 2011, 30 patients with distal (n=21) and mid-penile (n=9) hypospadias had surgical repair. The mean age of the patients was 4.2 years (range, 2-6 years). All patients received primary TIP repair with spongioplasty and tunica vaginalis flap. All the patients were followed for a period one year. Of the 30 cases, 27 patients (96%) had successful outcome with regard to a straight urine stream, vertically slit meatus, and acceptable cosmetic appearance. Three patients with mid-penile hypospadias developed a small fistula at the site of the native meatus among whom one had healed spontaneously with the rest two requiring secondary repair which was done after six months. Spongioplasty along with tunica vaginal flap repair is a reliable and important adjunct for covering the neo-urethra in TIP hypospadias repair. This surgical technique results in a low rate of fistula formation and good cosmetic and functional outcome of hypospadias repair.
Authors and Affiliations
Susanta Kumar Das, Jiwesh Thakur, Narendra Nath Mukherjee
Keywords
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