title: Uroflow findings in older boys with tubularized incised-plate urethroplasty.
abstract: OBJECTIVE
  To analyze uroflow findings in older boys with tubularized incised-plate urethroplasty (TIPU).
  
  
  METHODS
  79 toilet-trained patients who had TIPU were evaluated by studying their voiding history, a physical examination, suprapubic ultrasound and uroflowmetry, both pre- and postoperatively. The obstructive urinary flow pattern (OUFP) was accepted as low maximum urinary flow rate with plateau, staccato or intermittent shape.
  
  
  RESULTS
  The mean age was 7 years (range 5-11). The mean follow-up was 30 months (range 6-36). Of the 79 patients, 70 recovered. A permanent OUFP was found in 10 of 63 patients, as follows: 7 were detected in the 6th month after operation, and 1 each in the 9th, 18th and 36th months.Ten patients had no voiding abnormality and significant residual urine. The mean interval from initial surgery to presentation with an OUFP was 10.5 months.
  
  
  CONCLUSIONS
  An occult urethral obstruction develops in some asymptomatic children with TIPU and commonly occurres in the first year after operation.
authors.affiliation: Department of Urology, S.B. Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey. tuyguncan@yahoo.com
authors.forename: Can
authors.initials: C
authors.lastname: Tuygun
authors.forename: Hasan
authors.initials: H
authors.lastname: Bakirtas
authors.forename: Adnan
authors.initials: A
authors.lastname: Gucuk
authors.forename: Hakan
authors.initials: H
authors.lastname: Cakici
authors.forename: Abdurrahim
authors.initials: A
authors.lastname: Imamoglu
mesh_terms: D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D011446:Prospective Studies; D013997:Time Factors; D014039:Toilet Training; D016896:Treatment Outcome; D014463:Ultrasonography; D014521:Urethra / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D014525:Urethral Stricture / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology*; D014563:Urodynamics; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects*