Results of 265 consecutive proximal hypospadias repairs using the Thiersch-Duplay principle.
OBJECTIVE
We review the evolution of the concept of tubularization of the urethral plate and our results in the repair of proximal hypospadias.


METHODS
A total of 281 children born with proximal hypospadias underwent Thiersch-Duplay urethroplasty with or without a midline incision of the urethral plate between 1989 and 1998. Followup data were available in 265 children.


RESULTS
Excellent functional and cosmetic results were achieved in 88.7% of the patients. The use of either a dartos or tunica vaginalis flap to waterproof the urethral suture line resulted in a decrease in the fistula rate from 17% to 1.8%.


CONCLUSIONS
The principles of Thiersch-Duplay urethroplasty represent the basic foundation for surgical techniques that use the urethral plate to construct a urethral tube. The use of this principle in the repair of proximal hypospadias compares favorably with other methods.
Amukele
Samuel A
SA
Department of Urology, Schneider Children's Hospital, Long Island Jewish Medical Center, New Hyde Park, New York, USA.
Weiser
Adam C
AC
Stock
Jeffrey A
JA
Hanna
Moneer K
MK
D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000473:pathology / Q000601:surgery*; D007223:Infant; D008297:Male; D014521:Urethra / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods