Experience and Results After 100 Cases of Hypospadias Operated with Tubularized Incised Plate Technique

Aim: To report our experience with tubularized incised plate urethroplasty (TIP).
Material and methods: Tubularized incised plate urethroplasty was undertaken in 100 patients within 0 and 17 years (mean age 5.31 years), during the last two and a half years. All of them had the same procedure performed in the Clinic of Pediatric Surgery Tîrgu Mureş. The patients were followed-up at 2 weeks, 4 weeks, 3 months, 6 months and 1 year.
Results: Overall complications were encountered in 16 cases. We had 40 small patients (0–3 years) with a success rate of 95%, 46 mid age patients (4–11 years) with a success rate of 82.60% and 14 pubertal patients (12–17 years) with a success rate of 71.42%. The operation was performed for the first time in the case of 63 boys (54 had no complications) and it was a re-operation in the case of the other 37 (30 had no complications). Distal and mid shaft hypospadias had similar rate of success (89.58% and 84.61%). In proximal hypospadias, the rate of success was 61.53%.
Conclusions: The tubularized incised plate urethroplasty is a versatile single stage procedure for all types of hypospadias. We consider now that this procedure is the best in the treatment of hypospadias.