[Tubularized incised plate urethroplasty for hypospadias (a report of 35 cases)].

OBJECTIVE: To evaluate the clinical effects of tubularized incised plate urethroplasty for hypospadias.

METHODS: Thirty-five children aged 1 to 12 years with hypospadias were included in this study, 5 cases of them were glans type, 27 cases penis type, and 3 cases penoscrotal type. Hypospadias was treated by one-stage tubularized incised plate urethroplasty. Incised plate in the middle line loosened the urethral plate, and the microsurgery technique was applied during the suture.

RESULTS: The appearance and function of the new urinary meatus was satisfactory. Thirty cases were successfully corrected with no urethral fistula and stricture. Two cases with urethral fistula and 3 cases with urinary meatus stricture were corrected by re-operation. Follow-up investigations were carried out in 32 patients.

CONCLUSION: The urethral plate, close to normal urethral tissues, has an abundant blood supply and satisfactory elasticity. Tubularized incised plate urethroplasty is an ideal method for stage-one correction of hypospadias.