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TUBULARIZED INCISED PLATE URETHROPLASTY:: EXPANDED USE IN PRIMARY AND REPEAT SURGERY FOR HYPOSPADIAS

2001; Lippincott Williams & Wilkins; Volume: 165; Issue: 2 Linguagem: Inglês

10.1097/00005392-200102000-00075

1527-3792

Joseph G. Borer, Stuart B. Bauer, Craig A. Peters, David A. Diamond, Anthony Atala, Bartley G. Cilento, Alan B. Retik,

Urologic and reproductive health conditions

No AccessJournal of UrologyPEDIATRIC UROLOGY1 Feb 2001TUBULARIZED INCISED PLATE URETHROPLASTY:: EXPANDED USE IN PRIMARY AND REPEAT SURGERY FOR HYPOSPADIAS JOSEPH G. BORER, STUART B. BAUER, CRAIG A. PETERS, DAVID A. DIAMOND, ANTHONY ATALA, BARTLEY G. CILENTO, and ALAN B. RETIK JOSEPH G. BORERJOSEPH G. BORER , STUART B. BAUERSTUART B. BAUER , CRAIG A. PETERSCRAIG A. PETERS , DAVID A. DIAMONDDAVID A. DIAMOND , ANTHONY ATALAANTHONY ATALA , BARTLEY G. CILENTOBARTLEY G. CILENTO , and ALAN B. RETIKALAN B. RETIK View All Author Informationhttps://doi.org/10.1097/00005392-200102000-00075AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We evaluated the impact of tubularized incised plate urethroplasty on primary and repeat hypospadias repair. Materials and Methods: We retrospectively reviewed the medical records of all boys who underwent hypospadias repair at our institution during a recent 3-year period. The level of the hypospadias defect, technique of repair, primary repair versus reoperation, age at surgery and complications were recorded. Results: A total of 520 hypospadias repairs were done from May 1996 through June 1999. We began to perform tubularized incised plate urethroplasty in November 1996. During the ensuing consecutive 32 months 181 primary and 25 repeat hypospadias repairs were done using this technique. Mean patient age at surgery was 22 months (range 3 months to 30 years). During the 6 months immediately before we began to use this method the Mathieu flip-flap procedure was the most commonly performed technique, accounting for 38% of all hypospadias repairs. In contrast, during the last 6 months reviewed tubularized incised plate urethroplasty accounted for 63% of all repairs, including 41 of 65 primary operations (63%) and 4 of 6 reoperations (67%), while no Mathieu procedures were performed. Postoperative followup was 6 to 38 months for tubularized incised plate repair. Overall meatal stenosis and a urethrocutaneous fistula developed in 1 and 14 boys, respectively (7% complication rate). Conclusions: Tubularized incised plate urethroplasty has become the preferred technique of primary and repeat hypospadias repair at our institution. The technique has few complications as well as proved success and versatility that continues to expand its applicability and popularity. References 1 : Hinging the urethral plate in hypospadias meatoplasty. J Urol1989; 142: 1551. Link, Google Scholar 2 : Tubularized, incised plate urethroplasty for distal hypospadias. J Urol1994; 151: 464. 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Google Scholar From the Department of Urology, Children's Hospital and Department of Surgery, Harvard Medical School, Boston, Massachusetts© 2001 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byHerbst K, Ferrer F and Makari J (2013) The Need for Additional Procedures in Patients Undergoing Proximal Hypospadias Repairs as Reported in the Pediatric Health Information System DatabaseJournal of Urology, VOL. 190, NO. 4S, (1550-1555), Online publication date: 1-Oct-2013.Snodgrass W and Yucel S (2018) Tubularized Incised Plate for Mid Shaft and Proximal Hypospadias RepairJournal of Urology, VOL. 177, NO. 2, (698-702), Online publication date: 1-Feb-2007.Pohl H, Joyce G, Wise M and Cilento B (2018) Cryptorchidism and HypospadiasJournal of Urology, VOL. 177, NO. 5, (1646-1651), Online publication date: 1-May-2007.Bhat A (2018) Extended Urethral Mobilization in Incised Plate Urethroplasty for Severe Hypospadias: A Variation in Technique to Improve Chordee CorrectionJournal of Urology, VOL. 178, NO. 3, (1031-1035), Online publication date: 1-Sep-2007.Wolffenbuttel K, Wondergem N, Hoefnagels J, Dieleman G, Pel J, Passchier B, de Jong B, van Dijk W and Kok D (2018) Abnormal Urine Flow in Boys With Distal Hypospadias Before and After CorrectionJournal of Urology, VOL. 176, NO. 4S, (1733-1737), Online publication date: 1-Oct-2006.Routh J, Wolpert J and Reinberg Y (2018) Tunneled Tunica Vaginalis Flap is an Effective Technique for Recurrent Urethrocutaneous Fistulas Following Tubularized Incised Plate UrethroplastyJournal of Urology, VOL. 176, NO. 4, (1578-1581), Online publication date: 1-Oct-2006.PATEL R, SHUKLA A, LEONE N, CARR M and CANNING D (2018) SPLIT ONLAY SKIN FLAP FOR THE SALVAGE HYPOSPADIAS REPAIRJournal of Urology, VOL. 173, NO. 5, (1718-1720), Online publication date: 1-May-2005.NGUYEN M and SNODGRASS W (2018) Effect of Urethral Plate Characteristics on Tubularized Incised Plate UrethroplastyJournal of Urology, VOL. 171, NO. 3, (1260-1262), Online publication date: 1-Mar-2004.NGUYEN M and SNODGRASS W (2018) TUBULARIZED INCISED PLATE HYPOSPADIAS REOPERATIONJournal of Urology, VOL. 171, NO. 6 Part 1, (2404-2406), Online publication date: 1-Jun-2004.SNODGRASS W and ELMORE J (2018) INITIAL EXPERIENCE WITH STAGED BUCCAL GRAFT (BRACKA) HYPOSPADIAS REOPERATIONSJournal of Urology, VOL. 172, NO. 4 Part 2, (1720-1724), Online publication date: 1-Oct-2004.HAMMOUDA H, EL-GHONEIMI A, BAGLI D, McLORIE G and KHOURY A (2018) Tubularized Incised Plate Repair: Functional Outcome After Intermediate FollowupJournal of Urology, VOL. 169, NO. 1, (331-333), Online publication date: 1-Jan-2003.EMIR L and EROL D (2018) Mathieu Urethroplasty as a Salvage Procedure: 20-Year ExperienceJournal of Urology, VOL. 169, NO. 6, (2325-2327), Online publication date: 1-Jun-2003.Cheng E, Vemulapalli S, Kropp B, Pope J, Furness P, Kaplan W and Smith D (2018) Snodgrass Hypospadias Repair with Vascularized Dartos Flap: The Perfect Repair for Virgin Cases of Hypospadias?Journal of Urology, VOL. 168, NO. 4 Part 2, (1723-1726), Online publication date: 1-Oct-2002.YANG S, CHEN S, HSIEH C and CHEN Y (2018) REOPERATIVE SNODGRASS PROCEDUREJournal of Urology, VOL. 166, NO. 6, (2342-2345), Online publication date: 1-Dec-2001. Volume 165Issue 2February 2001Page: 581-585 Advertisement Copyright & Permissions© 2001 by American Urological Association, Inc.KeywordsurethraabnormalitieshypospadiasMetricsAuthor Information JOSEPH G. BORER More articles by this author STUART B. BAUER More articles by this author CRAIG A. PETERS More articles by this author DAVID A. DIAMOND More articles by this author ANTHONY ATALA More articles by this author BARTLEY G. CILENTO More articles by this author ALAN B. RETIK More articles by this author Expand All Advertisement PDF downloadLoading ...