Abstract
Background: Tubularized incised-plate (TIP) repair has been well described for the use in salvage hypospadias repairs with good results. Aim: To evaluate our local experience of TIP repair (Snodgrass method) in the management of recurrent hypospadias. Patients and methods: This prospective, descriptive study was conducted over a period of 5 years from December 2003 to December 2008. The study included 30 patients, all of them 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 29 patients (96%) while one case (4%) showed a complete failure. Postoperative follow-up was 2.1 years with a range of2- 8.2 years. Conclusion: Our local experience coincide with data of the literature that TIP is an excellent option in treatment of recurrent hypospadias when the primary techniques results are unsatisfactory.
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