Comparison between tubularisation of an intact and laterally augmented urethral plate urethroplasty and tubularised incised plate (TIP) urethroplasty for hypospadias repair

Authors

  • Saifuddin Shaheen Assistant Registrar, Neonatal Surgery, Dept. of Paediatric Surgery, Dhaka Medical College Hospital.
  • Ipsita Biswas Associate Professor (Paediatric Surgery), Bangladesh Shishu Hospital and Institute, Dhaka.
  • Muhammad Rashedul Alam Associate Professor (Paediatric Surgery), Bangladesh Shishu Hospital and Institute.Dhaka.

DOI:

https://doi.org/10.3329/jpsb.v10i1.72644

Keywords:

Hypospadias, Urethroplasty, Fistula, Meatal stenosis

Abstract

Objectives: The aim of this study was to compare the outcome of hypospadias repair by tubularisation of an intact and laterally augmented urethral plate urethroplasty and TIP urethroplasty. Methods: This prospective comparative study was conducted from July 2018 to January 2020 and included 35 patients with primary distal and mid penile hypospadias. All had urethral plate widths of 8–10 mm. Exclusion criteria were mega meatus intact prepuce, previous repair, circumcision, urethral plate of >10 mm or <8 mm in diameter, chordee >30°. In Group A underwent tubularisation of an intact and laterally augmented urethral plate urethroplasty and in Group B underwent tubularised incised-plate (TIP) urethroplasty. The follow up period was 06 months. Results: The success rate without any complication was 88.89% and 76.48% in Group A and B respectively. Meatal stenosis occurred 0% and 11.76% in Group A and B respectively. Wound dehiscence rate was 5.55% and 5.88% in Group A and B respectively. Urethrocutaneous fistula occurred 5.55% and 5.88% in Group A versus Group B. Overall complication occurred 11.11 in Group A and 23.52% in Group B. Conclusion: The outcome of tubularisation of intact and laterally augmented urethral plate urethroplasty was better than TIP urethroplasty.

Journal of Paediatric Surgeons of Bangladesh (2019) Vol. 10 (1 & 2): 32-36

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Published

2024-04-23

How to Cite

Shaheen, S., Biswas, . I. ., & Alam, M. R. . (2024). Comparison between tubularisation of an intact and laterally augmented urethral plate urethroplasty and tubularised incised plate (TIP) urethroplasty for hypospadias repair. Journal of Paediatric Surgeons of Bangladesh, 10(1), 32–36. https://doi.org/10.3329/jpsb.v10i1.72644

Issue

Vol. 10 No.1-2 (2019)

Section

Original Articles

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