Is Tip Repair in Hypospadias is a Confidence Building Procedure? Analysis of early Hundred Cases at A Pediatric Surgical Centre

Abstract

Purpose: The tubularized incised plate (TIP) technique for hypospadias repairis a well-known procedure for urethroplasty. The authors in this studyanalyze the application and outcome of TIP by the Pediatric Surgeon. They describe how this procedure helps to start hypospadias surgery services especially to the newly established centres. The procedure can provide surgeons required confidence and prepare them to undertake the complex surgeries for hypospadias. Method: This is a prospective study done on all cases of hypospadias operated with TIP technique in a newly established centre for Pediatric Surgery for a period of two years. The results were evaluated on the basis of outcome in the form location and shape of meatus, correction of curvature. The complications were noted and individually treated. Results: Total 100 patients were operated with TIP technique during the study period. The Distal type of the hypospadias was the main variety treated (n=64) followed by mid penile and proximal penile type of hypospadias (n=21 and n=13 respectively). All patients were offered TIP as the method of urethroplasty and were operated by a single surgeon. The procedure was well tolerated by all the patients. There were few complications, mainly meatal stenosis and urethrocutaneous fistula. No Major complications were found. The cosmetic and functional outcome was good in all cases. Conclusion: The TIP urethroplasty offers a considerable safe technique in the patients of hypospadias. It can be easily learnt and reproduced. There is a learning curve associated with the procedure. The authors can conclude that the procedure of TIP in the cases of hypospadias brings a good amount of confidence in a Pediatric Surgeon to offer the services of hypospadias surgery especially in newly established setup. Keywords: Hypospadias; Pediatric; Fistula; Hypospadias.