Landa-Juárez S, Huacuz-Herrera LM, Hernández-Aguilar G, Miguel-Gómez RD, Andraca-Dumit R, Meneses-Juárez JH

Language: Spanish
References: 10
Page: 206-210
PDF size: 2231.86 Kb.

ABSTRACT

Tubularized incised plate (TIP) technique is a method that has been used in distal hypospadias repair.
Objective: To report the authors’ experience with this technique in proximal hypospadias repair.
Materials and methods: A retrospective study on patients with proximal hypospadias who underwent correction using the TIP technique over a 5-year period was carried out. Lateral corpus spongiosum tissue was tubularized to the open urethral plate and urethral tube suture was covered by the tunica vaginalis.
Results: Only 6 (9.3%) out of 64 patients operated on with this technique presented with complications. Three (4.6%) developed fistula with associated meatal stenosis and 3 (4.6%) developed isolated meatal stenosis.
Conclusions: This technique is recommended for the correction of proximal hypospadias in patients with a welldeveloped urethral plate in whom curvature is not severe. The tubularization of corpus spongiosum tissue stabilizes the urethra even more and the tunica vaginalis cover eliminates the necessity of using foreskin, which could endanger the vascularity of the cutaneous covering and result in fistula formation.

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