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Updated: Aug 21, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Tubularized incised plate urethroplasty: 5 years' experience
Mehmet Eliçevik1, Gülay Tireli, Serdar Sander
1SSK Bakirköy Maternity and Children's Hospital, Clinic of Pediatric Surgery, Istanbul, Turkey. melicevik@tnn.net
Insights
Tubularized incised plate (TIP) urethroplasty effectively repairs primary hypospadias, achieving a 77% success rate. Further procedures improved outcomes to 95%, demonstrating TIP urethroplasty
Area of Science:
- Pediatric Urology
- Surgical Reconstruction
- Genitourinary Surgery
Background:
- Hypospadias is a congenital condition requiring surgical correction.
- Tubularized incised plate (TIP) urethroplasty is a common surgical technique for hypospadias repair.
Purpose of the Study:
- To evaluate the outcomes of primary hypospadias repairs using TIP urethroplasty.
- To assess the effectiveness of secondary procedures for managing complications.
Main Methods:
- Retrospective review of 360 pediatric patients undergoing TIP urethroplasty for primary hypospadias.
- Analysis of surgical outcomes, including success rates and complication management.
Main Results:
- Initial success rate for TIP urethroplasty was 77%, with a 95% success rate after secondary procedures.
- Complications included fistula (8%), dehiscence (3%), neourethral stricture (1%), and meatal stenosis (7%).
- Redo TIP urethroplasty had a 30% complication rate.
Conclusions:
- TIP urethroplasty is a viable surgical option for primary hypospadias repair.
- Attention to surgical detail and experience enhance cosmetic and functional outcomes.
- Secondary TIP urethroplasty is effective for managing repair complications.
Objective:
To evaluate the results of tubularized incised plate (TIP) urethroplasty in a series of primary hypospadias repairs.
Patients And Method:
The medical records of 360 children (Mean age: 4.3 years, range: 2-14 years) with primary hypospadias undergoing TIP urethroplasty repair and treatment of complications were reviewed. A good result is a direct urinary steam through a slit and vertically oriented meatus and mild angled urinary stream through a slightly regressed meatus is a satisfactory result.
Results:
The sum of good (74%) and satisfactory results (3%) was the overall success rate (77%) which was increased to 95% after a second surgical procedure for the treatment of complications. In 30 patients with single fistula (8%), fistula healed spontaneously in 2 patients and 20 patients had successful fistula closure. Redo TIP urethroplasty (n = 30) was performed for dehiscence (n = 15, 3%), neourethral stricture (n = 3, 1%) and multiple fistula with meatal stenosis (n = 12, 3%). The complication rate after redo TIP urethroplasty is 30%. Twenty-four (7%) patients underwent meatoplasty for meatal stenosis.
Conclusion:
TIP urethroplasty can be used to repair primary hypospadias. After a learning curve and attention to surgical details, cosmetic and functional outcome become excellent. Redo TIP urethroplasty can be performed in the treatment of complications.
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