TUBULARIZED INCISED PLATE HYPOSPADIAS REPAIR FOR PROXIMAL HYPOSPADIAS
Accepted 26 November 1997.
Abstract
Purpose
We report a multicenter experience using tubularized incised plate urethroplasty for proximal hypospadias.
Materials and Methods
From August 1993 to December 1996 tubularized incised plate urethroplasty was performed in 27 boys 6 months to 3 years old with mid shaft and penoscrotal hypospadias. In 7 other boys complex reconstruction combined the tubularized incised plate technique for the glanular urethra with other repairs for the proximal urethra.
Results
Tubularized incised plate surgery created a functional neourethra even in penoscrotal hypospadias. Complications of the primary repair developed in only 3 of 27 patients (11%). No complications were attributed to use of the technique for the glanular urethra in complex repairs.
Conclusions
Tubularized incised plate urethroplasty is a versatile operation that corrects proximal hypospadias defects with few complications and superior cosmetic results.
From the Methodist Children's Hospital, Lubbock, Texas, Division of Pediatric Urology, University of Colorado School of Medicine, Denver, Colorado, Division of Urology, Ospedale di Circolo, Varese, Italy, Kaiser Permanente Medical Center and Division of Urology, University of California-Los Angeles, Los Angeles, California, and Division of Urology, Hasbro Children's Hospital, Brown University School of Medicine, Providence, Rhode Island
ABSTRACT