Acta
Medica Medianae
Vol. 42
Number 4, Oktobar, 2003
UDK 61
YU ISSN 0365-4478
Contact:
Ruzica Milicevic
Clinic of Pediatric Surgery and Orthopedics, Clinical Center
Brace Taskovic 48
18000 Nis, Serbia and Montenegro
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OUR EXPERIENCE WITH TUBULARIZED
INCISED PLATE URETHROPLASTY FOR DISTAL AND MID-PENILE HYPOSPADIAS
Ruzica Milicevic,
Milan Bojanovic, Dragana Karadzic, Ana Kostic, Tanja Bubanj and Danijela
Djeric
Clinic of Pediatric Surgery and
Orthopedics, Clinical Center, Nis
Hypospadias does not present an isolated
genital anomaly but a complex urological, sexual, psychological and
psychiatric, reproductive and aesthetic problem. Although there are over
200 operative techniques, this great surgical challenge presently does
not have ideal operative solution. Nowadays, the use of urethral plate
for urethroplasty, through various surgical techniques, presents a
revolutionary concept in hypospadias surgery and it is being accepted by
an ever-increasing number of hypospadiologists.
Tubularized incised plate urethroplasty (TIP) -Snodgrass procedure was
performed on a total of 22 boys; 16 distal (72.7%), 5 mid-penile (22.7%)
and 1 proximal hypospadias in period from 1.1.2000 to 30.08.2003, by the
same surgical team. The average patient age was 4.5 years (6 mon. to 12
years). All reconstructions have been done as primary urethroplasty
while one distal hypospadias had one previous, unsuccessful MAGPI
procedure. Complication included small urethrocutaneous fistulas in 4
(18%) and meatal stenosis in 1 (4.5%) child. Snodgrass procedure is a
successful method for reparation of distal hypospadias for it provides
an excellent aesthetic result with acceptable complications. In order to
evaluate the success of this method in reparation of mid- and proximal
hypospadias, as well as the possibility of its application on previously
unsuccessful or circumcised patients, it is necessary to gain additional
experience although the first results are encouraging. Acta Medica
Medianae 2003; 42(4):35-38.
Key words: hypospadias, tubularized incised plate urethroplasty
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