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 Pub Date : 2024-04-23 DOI:10.3329/jpsb.v10i1.72644

Saifuddin Shaheen, I. Biswas, Muhammad Rashedul Alam

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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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尿道下裂修复术中完整和侧向增量尿道板尿道成形术与管状切开尿道板 (TIP) 尿道成形术的比较

目的：本研究的目的是比较尿道下裂修复术的结果，即通过完整和侧向增强尿道板尿道成形术和 TIP 尿道成形术的管状化修复尿道下裂。方法：这项前瞻性比较研究于 2018 年 7 月至 2020 年 1 月进行，共纳入 35 例原发性阴茎远端和中段尿道下裂患者。所有患者的尿道板宽度均为 8-10 毫米。排除标准为 mega 肉阜完整包皮、既往修复、包皮环切术、尿道板>10 mm 或 30°。A 组患者接受了完整和侧向增大尿道板的管状化尿道成形术，B 组患者接受了管状化切开尿道板（TIP）尿道成形术。随访期为 06 个月。结果A 组和 B 组无并发症的成功率分别为 88.89% 和 76.48%。A 组和 B 组尿道狭窄发生率分别为 0% 和 11.76%。A 组和 B 组的伤口裂开率分别为 5.55% 和 5.88%。A 组和 B 组的尿道皮肤瘘发生率分别为 5.55% 和 5.88%。A 组和 B 组的总并发症发生率分别为 11.11% 和 23.52%：孟加拉儿科外科医生杂志》（2019年）第10卷（1 & 2）：32-36

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Journal of Paediatric Surgeons of Bangladesh

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