title: Comparison between tubularised incised plate urethroplasty and onlay island flap repair in mid and proximal penile hypospadias.
abstract: OBJECTIVE
  To evaluate the surgical outcome of tubularised incised plate urethroplasty and onlay island flap repair for mid and proximal penile hypospadias.
  
  
  METHODS
  The prospective study was conducted at the Bahawal Victoria Hospital, Bahawalpur from June 2011 to May 2013. A total of 60 patients with mid and proximal penile hypospadias in the age range of 02 to 06 years were included. Patients with hypospadias other than mid and proximal penile, with chordee and history of previous hypospadias repair were excluded. Patients were divided into two equal groups. Urethroplasty was done for group I and flap repair for group II. The follow-up period was 12-24 months. SPSS 16 was used for statistical analysis.
  
  
  RESULTS
  The mean duration of surgery was 62 +/- 8.72 minutes for group I and 90 +/- 11.25 minutes for group II (p < 0.0001). In group I, only 03 (10.0%) patients had complications, while in group II, 09 (30.0%) patients developed complications (p = 0.02). Cosmetic results were also excellent in group I compared to group II.
  
  
  CONCLUSIONS
  Tubularised incised plate urethroplasty was better and superior than onlay island flap repair in terms of less operative time, complication rate and satisfactory cosmetic results for mid and proximal penile hypospadias.
authors.forename: Latif
authors.initials: L
authors.lastname: Javid
authors.forename: Mudassar Saeed
authors.initials: MS
authors.lastname: Pansota
authors.forename: Iftikhar
authors.initials: I
authors.lastname: Ahmad
authors.forename: Muhammad
authors.initials: M
authors.lastname: Tariq
authors.forename: Shafqat Ali
authors.initials: SA
authors.lastname: Tabassum
mesh_terms: D002648:Child; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D011446:Prospective Studies; D013524:Surgical Flaps; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D014547:Urinary Diversion; D013521:Urologic Surgical Procedures, Male / Q000379:methods*