Özet:

Tubularised incised plate urethroplasty (TIPU) is a procedure that produces excellent cosmetic results with vertically oriented, slit like meatus. We report our experience with this procedure in 230 patients over a period of 80 months. Thirty two of the patients were re-do hypospadias cases with one to six previous surgical procedures. The urethroplasty was covered with an additional layer of subcutaneous tissue in all but tunica vaginalis in two, midscrotal penile flap in two were used. Slit like meatus at the tip of glans were obtained in all patients. Complications occured in 27 patients, with 18 meatal stenosis, 21 urethral fistulas and 13 both fistula and stenosis. Complication rate was 10 % for primary and 22 % for re-do cases. T.I.P.U. procedure is seem to be reliable technique with excellent cosmetic results for the treatment of distal and mid penile hypospadias, even in circumcised and re-do cases.

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