The comparison of Belt-Fuqua and "TIPU" techniques in proximal penile hypospadias cases: retrospective analysis of 65 cases.
OBJECTIVE
We have compared our success and complication rates using the single-step "TIPU" (tubularized incised plate urethroplasty) and two-step Belt-Fuqua techniques in patients with proximal penile hypospadias.


METHODS
Sixty-five patients with proximal penile hypospadias were operated on in our clinic between 1998 and 2008: 31 by the "TIPU" technique and 34 by the Belt-Fuqua technique. The correction of the chordee was accomplished with dorsal plication and corporal body grafting in 18 patients in the "TIPU" group and at the first stage in all patients in the Belt-Fuqua group.


RESULTS
The mean age of the patients was 6.2 years in the "TIPU" group and 6.6 years in the Belt-Fuqua group. The mean follow-up duration was 9.2 and 7.9 months, respectively. The overall complication rate was 22.6% in the "TIPU" group and 11.8% in the Belt-Fuqua group. In both groups, the cosmetic appearance of a natural vertical slit glanular meatus situated at the normal position on the glans was achieved.


CONCLUSIONS
The two-step Belt-Fuqua technique is accepted as a good alternative treatment modality because of low complication rates and good results in selected cases with proximal penile hypospadias.
Kuyumcuoglu
Ugur
U
Urology Clinic, Dr. Lütfi Kirdar Kartal Training and Research Hospital, Kartal, Istanbul, Turkey. kuyumcuugur@yahoo.com
Eryildirim
Bilal
B
Faydaci
Gokhan
G
Tarhan
Fatih
F
Ozgül
Aydin
A
D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D007021:Hypospadias / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D010413:Penis / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis / Q000453:epidemiology; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods*; D012189:Retrospective Studies; D018570:Risk Assessment; D013524:Surgical Flaps; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery; D014554:Urination / Q000502:physiology; D013519:Urogenital Surgical Procedures / Q000009:adverse effects / Q000379:methods*