[Tubularized incised plate urethroplasty for hypospadias (a report of 35 cases)].

OBJECTIVE

To evaluate the clinical effects of tubularized incised plate urethroplasty for hypospadias.

METHODS

Thirty-five children aged 1 to 12 years with hypospadias were included in this study, 5 cases of them were glans type, 27 cases penis type, and 3 cases penoscrotal type. Hypospadias was treated by one-stage tubularized incised plate urethroplasty. Incised plate in the middle line loosened the urethral plate, and the microsurgery technique was applied during the suture.

RESULTS

The appearance and function of the new urinary meatus was satisfactory. Thirty cases were successfully corrected with no urethral fistula and stricture. Two cases with urethral fistula and 3 cases with urinary meatus stricture were corrected by re-operation. Follow-up investigations were carried out in 32 patients.

CONCLUSION

The urethral plate, close to normal urethral tissues, has an abundant blood supply and satisfactory elasticity. Tubularized incised plate urethroplasty is an ideal method for stage-one correction of hypospadias.