The experimental study on the tubularized incised plate (tip) urethroplasty in children on the central India
DOI:
https://doi.org/10.18203/2349-2902.isj20181593Keywords:
Hypospadias, Tubularized Incised Plate (TIP), UrethroplastyAbstract
Background: The main objective of the present study is assessment of the tubularized incised plate (TIP) urethroplasty. The present study was done in experimental research design.
Methods: We had started Tubularized incised plate urethroplasty as developed by Warren Snodgrass in all boys having coronal sub-coronal, distal, mid, and proximal hypospadias where urethral plate is intact.
Results: Out of 37 patients 17 patients developed fistulas at different sites, 10 patients had coronal fistula, 2 distal penile and one mid-shaft fistula. 2 patients who had fistula closure with urethroplasty for distal urethra by TIP developed reopening of fistula. 7 patients had thinning of stream out of which 3 patients developed immediate post-operative. It was managed by meatal dilatation. 4 patients complained thinning of stream after l0 days to one month. All patients were advised meatal dilatation. Stream improved later on in 6 patients. In 7 patients fistulas also closed spontaneously.
Conclusions: It is also found and concluded that the total number of the complication rate between primary and re-operative in TIP method is very low; it means TIP method is very useful and effective.
References
Thiersch C, Ueber D. Entstchungsweise Und Sperative Behandlung Der Epispadie. Arch Heilkunde,1869,10,20-35.
Duckett JW. The current hype in hypospadiology. Br J Urol, 1995;76(3),l-7.
Luo CC, Lin JN. Repair of hypospadias complication using the tubularized incised plate urethroplasty. J Paed Surg. 1999;34(11):1665-67.
Oswald J, Kornen I, Riccabona M: Comparison of perimeatal based flap (Mathieu) and the tubularized incised plate urethroplasty (snodgrass) in primary distal hypospadias. BJU Int. 2000;85(6);725-27.
Sherbiny EL, Hafezat MT, Dawaba MS, Shorrab AA, Bazeed MA. Comprehensive analysis of TIP in primary and re-operative hypospadias. BJU Int. 2004;93(7):1057-61.
Anwar-ul-Haq, Akhter N, Nilofer S, Javeria A, Ayub J Med Coll. 2006;18(2):4-8.
Retik AB, Borer JG, Hypospadias, Patriick C Walsh Ed. Campbell Urology vol. 3, 8thEd. S.B. Saunders Philadelphia, 2002, 2284-333.
Snodgrass W, Lorenzo A: Tubularized incised plate urethroplasty for proximal hypospadias. BJU Int. 2002:89(1):90-91.
AMK Rickwood, PAM Anderson: One stage hypospadias repair: Experience of 357 cases. Br J Urol. 199l;67(4);424-29.
Borer JG, Bauer SB, Peters CA, Diamond DA, Atala A, Cilento BG et al. Tubularized incised plate urethroplasty: Expanded use in primary and repeat surgery for Hypospadias. J. Urol. 200l;l65:581-85.
Snodgrass WT, Nguyen MT: Current technique of tubularized incised plate hypospadias repair. Urol, 2002;60(1):l57-62.
Duplay LS, Sur le traitement chirurgical de l'hypospadias et de l'epispadias. Arch Gen Med. 1880,5,257-76.
Sugarman ID, Trevett J, Malone PS: Tubularization of the incised urethral plate [Snodgrass procedure] for primary hypospadias surgery. BJU Int. 1999; 83(1); 88-90.
Aarskog D: Clinical and cytogenetic studies in hypospadias. Acta Paediat Scand Suppl. 1970; 203: l-6I.
Mathieu P: One-time treatment of balanic or juxtabalanic hypospadias, J Surg. 1932,39,481-86.
Barrack SM, Hamdun SH: TIP for distal hypospadias. East Afr Med J. 2001;78(6):327-9.
Cendron M, Ellsworth P: Treatment of complex hypospadias by Snodgrass technique. Ann Urol. 1999;33(5):364-7.
Chen SC, Yang SS, Hsieh CH, Chen YR: TIP in for proximal hypospadias. BJU Int. 2000; 86(9):I050-3.
Elicevek M, Jireli G, Sander G: TIP-5 years’ experience. Eur Urol. 2004;46(5):655-9
Smith DR: Repair of hypospadias in the preschool children a report of 150 cases. J Urol. 1967;97(4),723-29.
Bush NC, Holzer M, Zhang S, Snodgrass W. Age does not impact risk for urethroplasty complications after tubularized incised plate repair of hypospadias in prepubertal boys. J Pediatr Urol. 2013;9(3):252-6.
Guralnick ML, Shammari AA, Williant PE, Leanard MP: Outcome of hypospadias repair using tubularized incised plate urethroplasty. Can J Urol. 2000;7(2):986-91
Retik AB, Borer JG: Primary and re-operative hypospadias repair with Snodgrass Technique. World J Urol. 1998;16(3):186-91.
Jonathan H. Ross, Robert Kay: use of de-epithelialized local flap in hypospadias repair accomplished by Tubularization of incised urethral plate. Urol. 1997;50(l):l l0-2.
Muhammad SS, Mumtaz R, Mudassar SP, Shafqat AT.Comparative Study between Tubularized Incised Plate (Snodgrass) Urethroplasty and Reverse Flap (Mathieu’s) Repair in Distal Hypospadias. Ann Pak Inst Med Sci. 2012;8(2):96-100
Rich MA, Keating AM, Synder H. McC, Duckett JW: Hinging the urethral plate in hypospadias meatoplasty. J Urol. 1989,142(6),1551-53.
Snodgrass W, Koyle M, Manzoni G, Hurwitz R, Caldamone A, Ehrlich R. Tubularized incised plate hypospadias repair: results of a multicenter experience. J Urol. 1996;156(2);836-41.
Shanberg AM, Sanderson K, Duel B: Re-operative hypospadias repair using the Snodgrass incised plate urethroplasty. BJU Int. 2001;87(6):544-7.
Snodgrass W. Tubalarized incised plate urethralplasty for distal hypospadias. J Urol. 1994. l5l(2),464-65.
Snodgrass W: Tubularized incised plate TIP hypospadias repair. Urol Clin N Am. 2002;29(2):285-90.
Sweet RA, Schrott HG, Kurland R, Culp OS. Study of the incidence of hypospadias in Rochester Minnesota 1940-lg7}, and a case control comparison of possible etiologic factor. Mayo Clin Proc. 1974;49(1);52-8.