Abstract:

We retrospectively assessed the results of tubularized incised urethroplasty (TIPU) in a series of reoperative hypospadias repair in children. The study comprised of review (from April 1994 until December 2001) of 32 patients (mean age 6.7 years, range 17 months to 15 years) who had at least one previous hypospadias repair. The location of meatus at reoperation was distal penile in 24 patients, mid-penile in 4, and proximal penile in 4. The TIPU repair was undertaken as previously described for primary surgery. All patients were stented (8-12 F silastic). The dorsal plication was used to correct mild chordee. TIPU resulted in a functional neourethra and a cosmetically normal meatus in 30 of the 32 patients. Five patients (15.6 %) had complications. A urethrocutaneous fistula occurred in 4 patients (12.5 %), of whom 3 (9.3 %) had meatal stenosis. One patient (3.1 %) had glans dehiscence and balanitis xerotica obliterans. TIPU can successfully used for hypospadias reoperation. Previous incision of the urethral plate was not a contraindication in these selected cases in which the urethral plate appeared supple.

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