Result of Tubularized incised plate urethroplasty in all forms of hypospadias

Background and Hypospadias is a common congenital anomaly of urogenital system. In spite of different techniques for treatment of hypospadias and complications such as fistula after operation, most surgeons are keen of doing operations with the least complications and best results. TIP urethroplasty has been introduced for hypospadias repair in recent years and is becoming popular for its low complications, simplicity of operation and very good cosmetic results. In this study we evaluate 66 patients with all forms of hypospadias that were operated using this technique. This study is based on medical records of 66 boys with age between 8 month to 13 years with mean of 2.96+/-2.31 that were operated from March 1997 to May 2004 with TIP urethroplasty The patients were followed up after operation and complications such as infection, fistula and stenosis were looked for. The mean duration of follow up was 3 months. All patients had primary hypospadias and there was no case of secondary operation. For evaluation of data we used frequency, mean and standard deviation. 57(86.4%) pateints had distal and 9(13.6%) pateints had midshaft and proximal hypospadias. In all patients the cosmetic result of glans and neo-meatus was very good and like healthy boys. Urination was normal in all boys and there was no incidence of urinary retention. We did not see any complications in 59(89.4%) patients. 7(10.6%) had fistula that 5 were in distal group and 2 were in mid and proximal groups. We did not have any wound infection or dehiscence of repair. TIP urethroplasty is a simple and quick way to rapair hypospadias. Complications of this operation was low in our study and the only complication was fistula by the rate of 10.6% that was acceptable compared to other reports. Other complications such as infectious, stricture, or dehiscence were not seen.