title: The success of tubularized-incised plate urethroplasty in adults and children.
abstract: OBJECTIVE
  Hypospadias repair is rarely performed in adults. It is believed that the success rate is lower in adulthood. We aimed to compare the success rate of primary hypospadias repair with tubularized-incised plate (TIP) urethroplasty in adults and children.
  
  
  METHODS
  The databases of consecutive boys and adults who were treated with TIP urethroplasty for primary hypospadias between 2012 and 2015 were evaluated. All operations in the boys and adult patients were performed by a single surgeon. We considered urethroplasty complications to include a urethrocutaneous fistula, neourethral stricture, meatal stenosis, diverticulum, and glans dehiscence. Urine flow was also evaluated using uroflowmetry.
  
  
  RESULTS
  Seventy-seven consecutive patients underwent surgery by a single surgeon in the last 3 years for hypospadias repair. Nineteen of these patients were adults. Urethrocutaneous fistulae developed in 2 of the 19 (10.5 %) adults, and 3 of the 58 (5.2 %) boys. In addition, there were urinary tract infections in 2 (3.4 %) children, meatal stenosis in 1 (1.7 %) child, and glans dehiscence in 1 (5.3 %) adult. Uroflowmetry was normal in all patients. There was no difference in outcomes between boys and adults.
  
  
  CONCLUSIONS
  Our data showed that the success rate of hypospadias repair with TIP urethroplasty is similar in adults and children. TIP urethroplasty is associated with good results in adults and boys.
authors.affiliation: Department of Urology, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey.
authors.forename: Haci
authors.initials: H
authors.lastname: Polat
authors.affiliation: Department of Emergency, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey.
authors.forename: Umut
authors.initials: U
authors.lastname: Gulacti
authors.affiliation: Department of Urology, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey.
authors.forename: Alper
authors.initials: A
authors.lastname: Gok
authors.affiliation: Department of Urology, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey.
authors.forename: Mehmet Ozgur
authors.initials: MO
authors.lastname: Yucel
authors.affiliation: Department of Urology, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Cift
authors.affiliation: Department of Emergency, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey.
authors.forename: Ugur
authors.initials: U
authors.lastname: Lok
authors.affiliation: Department of Urology, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey.
authors.forename: Can
authors.initials: C
authors.lastname: Benlioglu
keywords: Adult; Child; Hypospadias; Reconstructive surgical procedures; Urethra