Modified tubularized incised plate urethroplasty

Aim: To share our experience of doing tubularized incised plate urethroplasty with modifications. Materials and Methods: This is a single surgeon personal series from 2004 to 2009. One hundred patients of distal hypospadias were subjected for Snodgrass urethroplasty with preputioplasty. The age rang...

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Main Authors: Shivaji Mane, Jamir Arlikar, Nitin Dhende
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Journal of Indian Association of Pediatric Surgeons
Subjects:
Online Access:http://www.jiaps.com/article.asp?issn=0971-9261;year=2013;volume=18;issue=2;spage=62;epage=65;aulast=Mane
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spelling doaj-044794621d7644518bcdc198ced3f5842020-11-24T23:00:53ZengWolters Kluwer Medknow PublicationsJournal of Indian Association of Pediatric Surgeons0971-92611998-38912013-01-01182626510.4103/0971-9261.109354Modified tubularized incised plate urethroplastyShivaji ManeJamir ArlikarNitin DhendeAim: To share our experience of doing tubularized incised plate urethroplasty with modifications. Materials and Methods: This is a single surgeon personal series from 2004 to 2009. One hundred patients of distal hypospadias were subjected for Snodgrass urethroplasty with preputioplasty. The age range was 1 to 5 year with mean age of 2.7 years. Selection criteria were good urethral plate, without chordee and torsion needing complete degloving. Main technical modification from original Snodgrass procedure was spongioplasty, preputioplasty, and dorsal slit when inability to retract prepuce during surgery. Results: Average follow-up period is 23 months. Seven (7%) patients developed fistula and one patient had complete preputial dehiscence. Phimosis developed in three (3%) patients and required circumcision. Dorsal slit was required in seven patients. One patient developed meatal stenosis in postoperative period. All other patients are passing single urinary stream and have cosmesis that is acceptable. Conclusions: Modified tubularized incised plate urethroplasty with preputioplasty effectively gives cosmetically normal looking penis with low complications.http://www.jiaps.com/article.asp?issn=0971-9261;year=2013;volume=18;issue=2;spage=62;epage=65;aulast=ManePreputioplastySnodgrassspongioplastyurethroplasty
collection DOAJ
language English
format Article
sources DOAJ
author Shivaji Mane
Jamir Arlikar
Nitin Dhende
spellingShingle Shivaji Mane
Jamir Arlikar
Nitin Dhende
Modified tubularized incised plate urethroplasty
Journal of Indian Association of Pediatric Surgeons
Preputioplasty
Snodgrass
spongioplasty
urethroplasty
author_facet Shivaji Mane
Jamir Arlikar
Nitin Dhende
author_sort Shivaji Mane
title Modified tubularized incised plate urethroplasty
title_short Modified tubularized incised plate urethroplasty
title_full Modified tubularized incised plate urethroplasty
title_fullStr Modified tubularized incised plate urethroplasty
title_full_unstemmed Modified tubularized incised plate urethroplasty
title_sort modified tubularized incised plate urethroplasty
publisher Wolters Kluwer Medknow Publications
series Journal of Indian Association of Pediatric Surgeons
issn 0971-9261
1998-3891
publishDate 2013-01-01
description Aim: To share our experience of doing tubularized incised plate urethroplasty with modifications. Materials and Methods: This is a single surgeon personal series from 2004 to 2009. One hundred patients of distal hypospadias were subjected for Snodgrass urethroplasty with preputioplasty. The age range was 1 to 5 year with mean age of 2.7 years. Selection criteria were good urethral plate, without chordee and torsion needing complete degloving. Main technical modification from original Snodgrass procedure was spongioplasty, preputioplasty, and dorsal slit when inability to retract prepuce during surgery. Results: Average follow-up period is 23 months. Seven (7%) patients developed fistula and one patient had complete preputial dehiscence. Phimosis developed in three (3%) patients and required circumcision. Dorsal slit was required in seven patients. One patient developed meatal stenosis in postoperative period. All other patients are passing single urinary stream and have cosmesis that is acceptable. Conclusions: Modified tubularized incised plate urethroplasty with preputioplasty effectively gives cosmetically normal looking penis with low complications.
topic Preputioplasty
Snodgrass
spongioplasty
urethroplasty
url http://www.jiaps.com/article.asp?issn=0971-9261;year=2013;volume=18;issue=2;spage=62;epage=65;aulast=Mane
work_keys_str_mv AT shivajimane modifiedtubularizedincisedplateurethroplasty
AT jamirarlikar modifiedtubularizedincisedplateurethroplasty
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