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Department of Pediatric Surgery, Alexandroupolis University Hospital, Democritus University of Thrace School of Medicine, Alexandroupolis, Greece
Abstract:   (241 Views)
BACKGROUND
Hypospadias repair is a challenging type of urogenital reconstructive surgery for which different techniques are currently used. This study determined the outcomes of repairing distal, mid-shaft and proximal hypospadias using two tubularized incised plate (TIP) urethroplasty (TIP-δ and TIP-ελ) techniques compared their complications.
METHODS
In this study, 269 boys with hypospadias were enrolled. The preoperative meatal site was distal in 179 patients, mid-shaft in 44 and proximal in 46. The average age at the operation was 17 months. The technique applied in distal hypospadias was Mathieu in 77 patients, Snodgrass in 28 and (TIP)-δ in 74. The technique applied in mid-shaft hypospadias was a tubularized island flap (TIF) in 12 patients, onlay island flap (OIF) in 5 and TIP-ελ in 27. The operative technique for proximal hypospadias was TIF in 15 patients, OIF in 10 and TIP-ελ in 21. TIP-δ and TIP-ελ were two new variants of TIP operation that we have used in our clinic since 2010. Postoperative complications were recorded, and the outcomes obtained by applying the techniques were compared.
RESULTS
The use of TIP-δ in the distal hypospadias and long TIP-ελ in the mid-shaft and proximal hypospadias resulted in significantly fewer complications than the other surgical methods across all cases of hypospadias (p<0.05).
CONCLUSION
The type of tissue used for neourethral coverage seems to play an important role in the outcome of hypospadias surgery.
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Type of Study: Original Article | Subject: Special
Received: 2019/04/18

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