Re-operative Hypospadias Repair Using Tubularized Incised Plate Urethroplasty
Egypt15 participantsStarted 2021-01-01
Plain-language summary
The aim of this study is to evaluate the outcomes, feasibility, and complication profile of re-operative hypospadias repair using tubularized incised plate urethroplasty as a single-stage procedure in a single-center experience.
Who can participate
Age range1 Year – 16 Years
SexALL
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Inclusion Criteria:
* Both sexes.
* Children with recurrent or residual hypospadias in whom the urethral plate is deemed suitable for reuse, defined as a plate width of at least 8-9 mm with acceptable vascularity and without severe fibrosis.
Exclusion Criteria:
* Patients with severely scared or fibrotic urethral plates are not suitable for tubularization.
* Absent or destroyed urethral plates following previous failed hypospadias repairs.
* Patients require staged urethral reconstruction rather than a single-stage procedure.
* Presence of poor urethral plate vascularity or ischemic tissue.
* Extensive penile scarring or fibrosis resulting from multiple previous surgical attempts.
* Severe penile curvature requiring excision of the urethral plate.
* Inability to achieve adequate, well-vascularized tissue coverage over the neourethra.