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
Related Articles
- EP ID EP476330
- DOI -
- Views 47
- Downloads 0
HbA1c as screening biomarker of dyslipidemia in Type 2 Diabetes mellitus patients
Type 2 diabetes mellitus consists of an array of dysfunctions characterized by hyperglycemia and resulting from the combination of resistance to insulin action, inadequate insulin secretion, and excessive or inappropriat...
Spurious Macrocytosis- Automated Cell Counters are Not Fool-Proof
With increasing use of electronic hematology cell counters macrocytosis is often encountered. Various etiological factors contribute to the development of macrocytosis. This study is from Kerala State, India and is a ret...
A Study on Awareness Regarding Swine Flu (Influenza A H1N1) PANDEMIC IN AN Urban Community of Maharashtra
Swine flu disease is pandemic and is widely spread across the India. More number of swine flu cases is rising in India and Maharashtra. As minimal literature is available on awareness of swine flu in this area .So this s...
Epidural Steroid Injection Guided by Fluoroscopy-CT: Report of the Technique in a Consecutive Patient Series and 3 Months Outcome Using the Numeric Rating Scale of Pain
The purpose of this research is to describe the procedure and evaluate its efficacy in a series of 30 patients who underwent epidural steroid injection guided by CT. In this way, to report the results at: 1st week, 1st...
A Research on Autoimmunity in the Cases with Epilepsy or Febrile Convulsion
We aimed to investigate the relationship between the autoimmunity and epileptic paroxysmal disorders. It was a prospective case-control study (Setting: Ambulatory or hospitalized care). A total of 32 patients and 16 heal...