بررسي نتايج اوليه ترميم هيپوسپادياس با روش TIP در بيمارستان مركز طبي كودكان و بهرامي طي سال هاي 79-80

Study on the primary results of tubularized incised plate hypospadias repair in Markas Tebi end Bahremi hospitals From February to august 2001

Background and purpose: Hypospadiasis is defined for the procedure using a tubularized incised plate (TIP). The site of surgery varies from clangeta to pereania. For correction of this anomaly, more than 200 methods have been tried, all of them followed by significant recurrency. Snodgrass has introduced a method with less side effect and best results in 1994. The aim of this study is to try TIP, because no report has been given on this technique in Iran until now. Materials and methods: This is a retrospective clinical trial. The patients with complain of hypospadisis referring to Markas Tebi and Bahrami hospitals were under study. Sixty patients by three surgeons with the same technique were operated. In this technique the U. plate of the patient was used. Tublarization was performed after degloying and longitudinal incision of the plate. Results : Urethroplasty was performed in 60 patients from february to august 2001. Age of the patients varied from 7 months to 12 years (mean age=4.3). Itʹs kind varied from subcronal to penvascrotal, duration of follow up is for five months. The patients were evaluated on the basis of age, cordy, administration of preoperative testestrone hormone, history of operation and the kind of hypospadisis Conclusion: Prevalence rate of fistula after the commonly used technique of surgery is (0-25%). This figure varies based on the kind of technique and the site of surgery. Snodgrass finding indicates that there was no observation of any fistula and obstruction in 72 patients, most of them with distal problem with 7 years of follow up. For progximal case, this percentage for various proximals is 10% which in total is mentioned to be 5.8% the results of our study with most of distal cases was in total 4.9% which is associated with the history of operation and kind of hypospadias (p<0.05). But is not related to age of cordy operation and injection of hormone. In total in can be said that TIP is a unique, and quick method also suitable for cosmotical point of view, and a proper alternative for the previous techniques.