Abstract:

INTRODUCTION: We aim to evaluate effectiveness and feasibility of tubularized-incised plate urethroplasty repair in adult patients with hypospadias METHODS: Between March 2013 and February 2016, 12 adult patients with primary hypospadias who underwent tubularized-incised plate urethroplasty repair were included in this study. The average age of patients, location of urethra, existence of penile chordee, and the average operation time, operative complications, urethral catheter removal time and length of hospital stay were analyzed retrospectively. All patients received uroflowmetry at postoperative 6th months. Surgical success was determined as a good cosmetic appearance with non-stenotic vertical meatus at type of the penis and a uroflowmetry with a maximum urinary flow rate > 20 mL/sc. The average patient age was 22.1 years. The average operation time, length of hospital stay and urethral catheter removal time were 105 minutes, 3 and 8,16 days, respectively. Two patients have mild penis chordee No early post-operative complication has occurred. The urethocutaneous fistula was observed in one patient at the average follow up to 19 months. Surgical success was determined as 91.6%. Mean Q max on post-operative uroflowmetry was measured as >20 mL/sc in all patients except one who have urethrocutaneous fistula formation.  DISCUSSION AND CONCLUSION: Tubularized-incised plate urethroplasty repair seems as an effective and feasible treatment in adult hypospadias patients with acceptable cosmetic and functional result. English short title: TIPU repair in adult hypospadias.

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