[Tubularized incised plate urethroplasty for children's hypospadias]
Shan Xu1, Da-Xing Tang, De-Hua Wu
1Department of Urology, Children's Hospital Affiliated to Zhejiang University School of Medicine, Hangzhou, Zhejiang 310003, China. xushan6527@sina.com
Objective:
To evaluate a new method of urethroplasty.
Methods:
A total of 212 patients with hypospadias aged from 4 months to 9 years (glans type, n = 8; penis type, n = 181, penoscrotal type, n = 23) underwent tubularized incised plate urethroplasty.
Results:
Followed up for 2 approximately 34 months, 188 cases obtained optimal functional and cosmetic results, 22 developed small fistulae and 16 were cured after a second operation 6 months later, 6 waited to be operated again, 2 cases of neourethra dehiscence were cured by second tubularized incised plate urethroplasty one year later.
Conclusion:
With its simplicity, low complication rate and reliable creation of a normal-appearing glanular meatus, tubularized incised plate urethroplasty can particularly be applied to boys with proximal hypospadias absent of severe penile curvature.
