scholarly journals Urethroplasty by Use of Turnover Flaps (Modified Mathieu Procedure) for Distal Hypospadias Repair in Adolescents: Comparison With the Tubularized Incised Plate Procedure

2014 ◽  
Vol 55 (11) ◽  
pp. 750 ◽  
Author(s):  
Seong Ho Bae ◽  
Jun Nyung Lee ◽  
Hyun Tae Kim ◽  
Sung Kwang Chung
Keyword(s):  
Hypospadias Repair ◽  
Tubularized Incised Plate ◽  
Distal Hypospadias ◽  
Mathieu Procedure

scholarly journals Comparison of Modified Mathieu versus Standard Tubularised Incised-Plate Urethroplasty for Distal Hypospadias Repair

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Naeem M ◽  
◽  
Khan MK ◽  
Shah G ◽  
Izhar M ◽  
...  
Keyword(s):  
Categorical Variables ◽  
Fisher Exact Test ◽  
Hypospadias Repair ◽  
Urethral Plate ◽  
Meatal Stenosis ◽  
Group I ◽  
Tubularized Incised Plate ◽  
Distal Hypospadias ◽  
The Difference ◽  
Mathieu Procedure

Objective: To compare the outcomes of modified Mathieu versus standard tubularised incised-plate urethroplasty for distal hypospadias repair. Materials and Methods: This prospective comparative study was conducted on 54 cases affected by distal hypospadias presenting to Institute of Kidney Disease, Hayatabad, Peshawar form February 2015 to June 2020. The inclusion criteria was patients with distal hypospadias (coronal, sub-coronal, or distal penile), age range of 15 to 60 months. Cases with severe chordee/ventral curvature, history of previous hypospadias repair, and poorly developed urethral plate were excluded. The patients with distal hypospadias were divided into two equal groups: in-group I repair done with Mathieu procedure plus incision of the urethral plate (modified Mathieu) and in-group II repair was performed with Tubularized Incised Plate (TIP). The principal author performed functional and cosmetic assessment at follow up visits which includes; denvo meatus; size and pressure of the stream; and complications like meatal stenosis, urethral cutaneous fistula. Fisher Exact test was used to compare categorical variables between the two groups and student t test for continuous variables. Results: The mean age of the study was 38.13±12.55 months. The operating time was less in TIP than modified Mathieu procedure statistically (P=0.036, 95% CI=0.315, 9.02). In modified Mathieu procedure the sprayed stream of micturition was higher (n=4, 14.8%) while in TIP procedure the frequency of narrow stream was higher (n=4, 14.8%). The difference was statistically significant (P=0.054). Only in modified Mathieu procedure the meatus shape was round in 4 (14.8%) cases and the results were statistically different (P=0.038). Post-operative fistula was higher TIP (n=6, 22.2%) than modified Mathieu (n=1, 3.7%) statistically (P=0.043). Only in TIP procedure postoperative meatal stenosis was found in 5 (18.5%) and the difference was statistically significant (P=0.019). Conclusion: The modified Mathieu technique can improve the cosmetic outcome through creation of slit-like meatus, low incidence of fistula and meatal stenosis than tubularized incised plate urethroplasty in the repair of distal hypospadias.

Nonstented Tubularized Incised Plate Distal Hypospadias Repair: A Single Center 5 Years’ Experience

Urology ◽  
2020 ◽  
Vol 146 ◽  
pp. 207-210
Author(s):  
Akram Assadi ◽  
Ahmad N. Alzubaidi ◽  
J. Kyle Cline ◽  
Cynthia Sharadin ◽  
A. Jill Travis ◽  
...  
Keyword(s):  
Hypospadias Repair ◽  
Single Center ◽  
Tubularized Incised Plate ◽  
Distal Hypospadias

Tubularized incised plate hypospadias repair for distal hypospadias

2010 ◽  
Vol 6 (4) ◽  
pp. 408-413 ◽  
Author(s):  
Warren T. Snodgrass ◽  
Nicol Bush ◽  
Nicholas Cost
Keyword(s):  
Hypospadias Repair ◽  
Tubularized Incised Plate ◽  
Distal Hypospadias

scholarly journals URETHROPLASTY

2006 ◽  
Vol 13 (04) ◽  
pp. 615-620
Author(s):  
MUHAMMAD AKMAL ◽  
SAFDAR HASSAN JAVED SIAL ◽  
MUHAMMAD HUSSAIN WASEER
Keyword(s):  
Randomized Study ◽  
Prospective Randomized Study ◽  
Hypospadias Repair ◽  
Meatal Stenosis ◽  
Hematoma Formation ◽  
Tubularized Incised Plate ◽  
Distal Hypospadias ◽  
Treat All ◽  
Causes Of Failure

Objectives: To assess the results of Tubularized incised plate urethroplastyfor hypopadias repair and to find out the causes of failure. Design: Prospective randomized study. Place & Durationof Study: Department of urology, Allied Hospital Faisalabad. From May 2001 to April 2003. Patients & Methods: 20consecutive patients of Hypospadias were included in this study. All cases were managed by Tabularized incised platUrethroplasty (TIPU). Results: 12 cases presented with distal Hypospadias. 08 patients came with proximalHypospadias. Common age at presentation was below 5 years. Orthoplasty was done by Nasbit technique in 04patients. Overall success of tabularized incised plate urethroplasty for distal Hypospadias repair was seen in10(83.60%) cases. 01(8.30%) patients developed fistula and 01(8.30%) patient presented with total disruption. Meatalstenosis was observed in 01(8.30%) patient which responded well to regular dilatation. Overall success of TIPU forproximal Hypospadias repair was seen in 05(62.50%) patients. Fistula occurred in 02(25%) patients and total disruptionin 01(12.5%) patient. 01(12.5%) patient developed meatal stenosis which was managed by regular dilatation.Conclusion: TIPU can be applied as a valid option to treat all types of Hypospadias. Most of the complications canbe minimized by proper technique, prevention of hematoma formation and infection.

The Penile Perception Score after distal hypospadias repair with tubularized incised plate and Mathieu

2018 ◽  
Vol 14 (1) ◽  
pp. 31-35
Author(s):  
Abdullah Al-Debeiky ◽  
Hassan El-Tatawy ◽  
Mohamed Aboufarha ◽  
Tarek Gameel ◽  
Ahmed El-Sakka ◽  
...  
Keyword(s):  
Hypospadias Repair ◽  
Tubularized Incised Plate ◽  
Distal Hypospadias ◽  
Perception Score

scholarly journals Assessment of the outcome of the tubularized incised plate (T.I.P) tech-nique in the management of distal hypospadias; prospective single-centre study

2019 ◽  
Vol 10 (2) ◽  
pp. 1547-1550
Author(s):  
Ahmed Abdulameer Alwan ◽  
Ahmed Ali Obaid ◽  
Hussain T. Ajeel
Keyword(s):  
Surgical Procedure ◽  
Hypospadias Repair ◽  
Urethrocutaneous Fistula ◽  
Single Centre ◽  
Tubularized Incised Plate ◽  
Single Centre Study ◽  
Tubularized Incised Plate Urethroplasty ◽  
Male Patients ◽  
Distal Hypospadias

To assess the consequence of tubularized incised plate urethroplasty on primary hypospadias repair. Total of 42 male patients underwent hypospadias repair in AL-Diwaniyah Teaching Hospital/Iraq. from April 2016 to April 2018. The levels of the hypospadias defect, age at operation, type of sutures and dressing, type of catheter and time of removal and complications were verified. Tubularized incised plate urethroplasty done for all patients and mean patients age at operation was 4.4 years (range 1 year to 8year). Postoperative follow up was 1 to 3 months. Generally, meatal stenosis, dehiscence due to infection and an urethrocutaneous fistula occurred in 3,2and 6 patients, respectively. T.I.P. urethroplasty has come to be the favourite surgical procedure of distal hypospadias cases at our hospital. The technique has a small number of complications in addition to prove success and adaptability that continue to increase its application.

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