Tubularized Incised Plate Hypospadias Repair: Results of a Multicenter Experience

Abstract

No AccessJournal of UrologyHypospadias1 Aug 1996Tubularized Incised Plate Hypospadias Repair: Results of a Multicenter Experience Warren Snodgrass, Martin Koyle, Gianantonio Manzoni, Richard Hurwitz, Anthony Caldamone, and Richard Ehrlich Warren SnodgrassWarren Snodgrass , Martin KoyleMartin Koyle , Gianantonio ManzoniGianantonio Manzoni , Richard HurwitzRichard Hurwitz , Anthony CaldamoneAnthony Caldamone , and Richard EhrlichRichard Ehrlich View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)65835-XAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We report a multicenter experience using tubularized incised plate urethroplasty to correct distal hypospadias. Materials and Methods: A total of 148 patients underwent repair by 6 pediatric urologists at different institutions in the United States and Europe. Results: Tubularized incised plate repair created a functional neourethra with a vertically oriented meatus. Complications, including meatal stenoses and fistulas, occurred in 10 patients (7 percent). Conclusions: Tubularized incised plate urethroplasty can be performed in most cases of distal hypospadias. Cosmetic results are superior to those of other popular techniques. References 1 : Tubularized, incised plate urethroplasty for distal hypospadias. J. Urol.1994; 151: 464. Link, Google Scholar 2 : The subcoronal meatus. J. Urol.1983; 130: 739. Link, Google Scholar 3 : Meatal advancement and glanuloplasty hypospadias repair after 1,000 cases: avoidance of meatal stenosis and regression. J. Urol.1992; 147: 665. Link, Google Scholar 4 : The GAP (glans approximation procedure) for glanular coronal hypospadias. J. Urol.1989; 141: 359. Link, Google Scholar 5 : Technical challenge of the megameatus intact prepuce hypospadias variant: the pyramid procedure. J. Urol.1989; 141: 1407. Link, Google Scholar 6 : Traitement en un temps de l'hypospadias balanique ou juxtabalanique. J. Chir.1932; 39: 481. Google Scholar 7 : Onlay island flap in the repair of mid and distal penile hypospadias without chordee. J. Urol.1987; 138: 376. Link, Google Scholar 8 : Hinging the urethral plate in hypospadias meatoplasty. J. Urol.1989; 142: 1551. Link, Google Scholar 9 : The correction of hypospadias: a review. Urol. Surg.1958; 8: 2. Google Scholar 10 : Hypospadias and other urethral abnormalities. In: Clinical Pediatric Urology. Edited by . Philadelphia: W. B. Saunders Co.1992: 619. chapt. 15. Google Scholar 11 : Changing concepts of hypospadias curvature lead to more onlay island flap procedures. J. Urol.1994; 151: 191. Link, Google Scholar From the Methodist Children's Hospital, Lubbock, Texas, Division of Pediatric Urology, University of Colorado School of Medicine, Denver, Colorado, Ospedale di Circolo, Varese, Italy, Kaiser Permanente Medical Group, Los Angeles, California, and Divisions of Urology, Brown University School of Medicine, Providence, Rhode Island, and UCLA Center for Health Sciences, Los Angeles, California.© 1996 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byLeslie B, Jesus L, El-Hout Y, Moore K, Farhat W, Bägli D, Lorenzo A and Pippi Salle J (2011) Comparative Histological and Functional Controlled Analysis of Tubularized Incised Plate Urethroplasty With and Without Dorsal Inlay Graft: A Preliminary Experimental Study in RabbitsJournal of Urology, VOL. 186, NO. 4S, (1631-1637), Online publication date: 1-Oct-2011.Appignani A, Prestipino M, Bertozzi M, Nardi N and Falcone F (2009) Double-Cross Flap Protection: New Technique for Coverage of Neourethra in Hypospadias RepairJournal of Urology, VOL. 182, NO. 4, (1521-1527), Online publication date: 1-Oct-2009.Sarhan O, Saad M, Helmy T and Hafez A (2009) Effect of Suturing Technique and Urethral Plate Characteristics on Complication Rate Following Hypospadias Repair: A Prospective Randomized StudyJournal of Urology, VOL. 182, NO. 2, (682-686), Online publication date: 1-Aug-2009.Lalla M, Danielsen C, Austevoll H, Olsen L and Jørgensen T (2018) Biomechanical and Biochemical Assessment of Properties of the Anterior Urethra After Hypospadias Repair in a Rabbit ModelJournal of Urology, VOL. 177, NO. 6, (2375-2380), Online publication date: 1-Jun-2007.Scuderi N, Chiummariello S and De Gado F (2018) Correction of Hypospadias With a Vertical Preputial Island Flap: A 23-Year ExperienceJournal of Urology, VOL. 175, NO. 3, (1083-1087), Online publication date: 1-Mar-2006.NGUYEN M and SNODGRASS W (2018) Effect of Urethral Plate Characteristics on Tubularized Incised Plate UrethroplastyJournal of Urology, VOL. 171, NO. 3, (1260-1262), Online publication date: 1-Mar-2004.JAYANTHI V (2018) The Modified Snodgrass Hypospadias Repair: Reducing the Risk of Fistula and Meatal StenosisJournal of Urology, VOL. 170, NO. 4 Part 2, (1603-1605), Online publication date: 1-Oct-2003.CHENG E, KROPP B, POPE J and BROCK J (2018) Proximal Division of the Urethral Plate in Staged Hypospadias RepairJournal of Urology, VOL. 170, NO. 4 Part 2, (1580-1584), Online publication date: 1-Oct-2003.FURNESS P (2018) Successful Hypospadias Repair With Ventral Based Vascular Dartos Pedicle for Urethral Coverage.Journal of Urology, VOL. 169, NO. 5, (1825-1827), Online publication date: 1-May-2003.HAMMOUDA H, EL-GHONEIMI A, BAGLI D, McLORIE G and KHOURY A (2018) Tubularized Incised Plate Repair: Functional Outcome After Intermediate FollowupJournal of Urology, VOL. 169, NO. 1, (331-333), Online publication date: 1-Jan-2003.Lapointe S, N-Fékété C and Lortat-Jacob S (2018) Early Closure of Fistula After Hypospadias Surgery Using N-butyl Cyanoacrylate: Preliminary ResultsJournal of Urology, VOL. 168, NO. 4 Part 2, (1751-1753), Online publication date: 1-Oct-2002.Palmer L, Palmer J, Franco I, Friedman S, Kolligian M, Gill B and Levitt S (2018) The "Long Snodgrass": Applying the Tubularized Incised Plate Urethroplasty to Penoscrotal Hypospadias in 1-stage Or 2-stage RepairsJournal of Urology, VOL. 168, NO. 4 Part 2, (1748-1750), Online publication date: 1-Oct-2002.Cheng E, Vemulapalli S, Kropp B, Pope J, Furness P, Kaplan W and Smith D (2018) Snodgrass Hypospadias Repair with Vascularized Dartos Flap: The Perfect Repair for Virgin Cases of Hypospadias?Journal of Urology, VOL. 168, NO. 4 Part 2, (1723-1726), Online publication date: 1-Oct-2002.VELA D, MÉNDEZ R, SOMOZA M, LIRAS J and PAIS E (2018) LENGTHENING THE URETHRAL PLATE WITH A DOUBLE FLAP TECHNIQUE: A NEW PROCEDURE FOR CORRECTION OF PRIMARY HYPOSPADIAS WITH CHORDEEJournal of Urology, VOL. 167, NO. 1, (306-308), Online publication date: 1-Jan-2002.LOPES J, SCHNED A, ELLSWORTH P and CENDRON M (2018) HISTOLOGICAL ANALYSIS OF URETHRAL HEALING AFTER TUBULARIZED INCISED PLATE URETHROPLASTYJournal of Urology, VOL. 166, NO. 3, (1014-1017), Online publication date: 1-Sep-2001.BORER J, BAUER S, PETERS C, DIAMOND D, ATALA A, CILENTO B and RETIK A (2018) TUBULARIZED INCISED PLATE URETHROPLASTY:: EXPANDED USE IN PRIMARY AND REPEAT SURGERY FOR HYPOSPADIASJournal of Urology, VOL. 165, NO. 2, (581-585), Online publication date: 1-Feb-2001.KIRSCH A, COOPER C, GATTI J, SCHERZ H, CANNING D, ZDERIC S and SNYDER H (2018) LASER TISSUE SOLDERING FOR HYPOSPADIAS REPAIR:: RESULTS OF A CONTROLLED PROSPECTIVE CLINICAL TRIALJournal of Urology, VOL. 165, NO. 2, (574-577), Online publication date: 1-Feb-2001.BLEUSTEIN C, ESPOSITO M, SOSLOW R, FELSEN D and POPPAS D (2018) MECHANISM OF HEALING FOLLOWING THE SNODGRASS REPAIRJournal of Urology, VOL. 165, NO. 1, (277-279), Online publication date: 1-Jan-2001.HOLLAND A and SMITH G (2018) EFFECT OF THE DEPTH AND WIDTH OF THE URETHRAL PLATE ON TUBULARIZED INCISED PLATE URETHROPLASTYJournal of Urology, VOL. 164, NO. 2, (489-491), Online publication date: 1-Aug-2000.YANG S, CHEN Y, HSIEH C and CHEN S (2018) PRESERVATION OF THE THIN DISTAL URETHRA IN HYPOSPADIAS REPAIRJournal of Urology, VOL. 164, NO. 1, (151-153), Online publication date: 1-Jul-2000.KOLON T and GONZALES E (2018) THE DORSAL INLAY GRAFT FOR HYPOSPADIAS REPAIRJournal of Urology, VOL. 163, NO. 6, (1941-1943), Online publication date: 1-Jun-2000.Elbakry A (2018) RE: DOES TUBULARIZED INCISED PLATE HYPOSPADIAS REPAIR CREATE NEOURETHRAL STRICTURES?Journal of Urology, VOL. 163, NO. 5, (1525-1525), Online publication date: 1-May-2000. (2018) EDITORIAL COMMENTJournal of Urology, VOL. 162, NO. 6, (2142-2143), Online publication date: 1-Dec-1999.SNODGRASS W (2018) DOES TUBULARIZED INCISED PLATE HYPOSPADIAS REPAIR CREATE NEOURETHRAL STRICTURES?Journal of Urology, VOL. 162, NO. 3 Part 2, (1159-1161), Online publication date: 1-Sep-1999.Steckler R and Zaontz M (2018) Stent-Free Thiersch-Duplay Hypospadias Repair With the Snodgrass ModificationJournal of Urology, VOL. 158, NO. 3, (1178-1180), Online publication date: 1-Sep-1997. Volume 156Issue 2SAugust 1996Page: 839-841 Advertisement Copyright & Permissions© 1996 by American Urological Association, Inc.Metrics Author Information Warren Snodgrass More articles by this author Martin Koyle More articles by this author Gianantonio Manzoni More articles by this author Richard Hurwitz More articles by this author Anthony Caldamone More articles by this author Richard Ehrlich More articles by this author Expand All Advertisement PDF downloadLoading ...