Author/Authors :
Aydoğmuş, Yasin Etimesgut Asker Hastanesi - Üroloji Kliniği, Turkey , Aydın, Arif S.B. Mehmet Akif İnan Eğitim ve Araştırma Hastanesi - Üroloji Kliniği, Turkey , Karakan, Tolga S.B. Ankara Eğitim ve Araştırma Hastanesi - Üroloji Kliniği, Turkey , Dadalı, Mümtaz Ahi Evran Üniversitesi - Tıp Fakültesi - Üroloji Anabilim Dalı, Turkey , Bağbancı, Şahin Ahi Evran Üniversitesi - Tıp Fakültesi - Üroloji Anabilim Dalı, Turkey , Kabar, Mücahit S.B.Ankara Eğitim ve Araştırma Hastanesi - Üroloji Kliniği, Turkey , Sunay, Melih S.B.Ankara Eğitim ve Araştırma Hastanesi - Üroloji Kliniği, Turkey , Hasçiçek, Ahmet Metin S.B.Ankara Eğitim ve Araştırma Hastanesi - Üroloji Kliniği, Turkey , Ersoy, Erim S.B.Ankara Eğitim ve Araştırma Hastanesi - Üroloji Kliniği, Turkey , Germiyanoğlu, R. Cankon Ondokuz Mayıs Üniversitesi - Tıp Fakültesi - Üroloji Anabilim Dalı, Turkey
Abstract :
Objective: To evaluate the results of the patients with primary proximal hypospadias repaired by “tubularized incised plate” urethroplasty (TIPU). Methods: Thirty-three patients who were operated with TIPU technique in our clinic between 2003-2011 for primary hypospadias with proximal penile and penoscrotal meatus were retrospectively evaluated. Evaluation of the success in this study was, “voiding without fistula”. Results: Mean age was 6.82±3.07 (1-13). Fifteen patients (45.4%) had penoscrotal and 18 patients (54.6%) had proximal penil meatus. Postoperative success was evaluated with direct vision of voiding at the time of uncatheterization, 2 weeks and 6 months after un-catheterization. Success rates were 5/15 and 10/18 after the first repair in the level penoscrotal and proximal penil, respectively. Overall success rate was 45.5% after the first repair. Patients with urethral fistula after first repair were undergone second repair, success rates were increased to 9/15 and 16/18 in the levels of penoscrotal and proximal penil, respectively. Overall success rate after second repair was 75.8%. Conclusion: TIPU may be confidently applied for the patients with proximal hypopadias in experienced clinics, if there is not an uretral cordi or/and abnormality in the development of urethral plate.
