Tubularized incised plate hypospadias repair for proximal hypospadias.
OBJECTIVE
We report a multicenter experience using tubularized incised plate urethroplasty for proximal hypospadias.


METHODS
From August 1993 to December 1996 tubularized incised plate urethroplasty was performed in 27 boys 6 months to 3 years old with mid shaft and penoscrotal hypospadias. In 7 other boys complex reconstruction combined the tubularized incised plate technique for the glanular urethra with other repairs for the proximal urethra.


RESULTS
Tubularized incised plate surgery created a functional neourethra even in penoscrotal hypospadias. Complications of the primary repair developed in only 3 of 27 patients (11%). No complications were attributed to use of the technique for the glanular urethra in complex repairs.


CONCLUSIONS
Tubularized incised plate urethroplasty is a versatile operation that corrects proximal hypospadias defects with few complications and superior cosmetic results.
Snodgrass
W
W
Methodist Children's Hospital, Lubbock, Texas, USA.
Koyle
M
M
Manzoni
G
G
Hurwitz
R
R
Caldamone
A
A
Ehrlich
R
R
D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000235:genetics*; D007223:Infant; D008297:Male; D011183:Postoperative Complications; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*