Tubularized incised plate technique for recurrent hypospadias

Abstract

Objectives To evaluate our local experience of tubularized incised plate (TIP) repair (Snodgrass method) in the management of recurrent hypospadias.Summary background data TIP repair has been well described for use in salvage hypospadias repairs, with good results.Patients and methods This prospective, descriptive study was carried out over a period of 5 years from December 2003 to December 2008. The study included 30 patients; all of these patients had previously undergone hypospadias repair, and the indication for surgery was complete failure of the previous repair. Classic TIP repair was performed, although tissues for barrier layers between the neourethra and skin closures were not as readily available.Results Secondary TIP repair was successful in 25/30 patients (83.3%). These patients showed no postoperative complications and had a slit-like meatus and a forwarddirected urinary stream without branching. Their parents were satisfied with the repair results.Conclusion Our local experience coincides with data of the literature that TIP is an excellent option in the treatment of recurrent hypospadias when the results of primary techniques are unsatisfactory.