title: The effect of dorsal dartos flaps on complication rates in hypospadias repair: a randomised prospective study.
abstract: OBJECTIVE
  This study prospectively analysed the effect of using a dartos flap on the complication rates of TIPU (tubularised incised plate urethroplasty) in hypospadias repair.
  
  
  METHODS
  Patients having TIPU repair for hypospadias at our university hospital between January 2010 and August 2013 were prospectively divided into two groups. Group 1 had TIPU repair with dorsal dartos flap, whereas group 2 had flapless repair. At the end of the follow-up period (mean 23.3 m, median 20.2), complication rates were compared between two groups.
  
  
  RESULTS
  There were 107 patients in each group. The overall complication rate was 9.3%. The complication rates were 12.1% in group 1 (6 glans dehiscence and 7 fistula) and 6.5% in group 2 (2 glans dehiscence and 5 fistula). The differences between complication rates and fistula were statistically insignificant (p = 0.2511 and p = 0.7710, respectively).
  
  
  CONCLUSIONS
  Our prospective and randomised study found that the use of dartos flaps in hypospadias offers no statistically significant advantage over flapless repair for complication rates.
authors.affiliation: Department of Pediatric Surgery, Marmara University School of Medicine, Istanbul, Turkey.
authors.forename: David Terence
authors.initials: DT
authors.lastname: Thomas
authors.affiliation: Department of Pediatric Surgery, Marmara University School of Medicine, Istanbul, Turkey.
authors.forename: Kivilcim
authors.initials: K
authors.lastname: Karadeniz Cerit
authors.affiliation: Department of Pediatric Surgery, Marmara University School of Medicine, Istanbul, Turkey.
authors.forename: Sevim
authors.initials: S
authors.lastname: Yener
authors.affiliation: Department of Pediatric Surgery, Marmara University School of Medicine, Istanbul, Turkey.
authors.forename: Aliye
authors.initials: A
authors.lastname: Kandirici
authors.affiliation: Division of Pediatric Urology, Department of Pediatric Surgery, Marmara University School of Medicine, Istanbul, Turkey.
authors.forename: Tolga E
authors.initials: TE
authors.lastname: Dagli
authors.affiliation: Department of Pediatric Surgery, Marmara University School of Medicine, Istanbul, Turkey. Electronic address: htugtepe@yahoo.com.
authors.forename: Halil
authors.initials: H
authors.lastname: Tugtepe
mesh_terms: D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D011446:Prospective Studies; D013524:Surgical Flaps / Q000009:adverse effects*; D013529:Surgical Wound Dehiscence / Q000453:epidemiology*; D014521:Urethra / Q000601:surgery; D014548:Urinary Fistula / Q000453:epidemiology*; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects*
keywords: Dartos; Flap; Hypospadias; TIPU; Urethroplasy