Warren T Snodgrass1, Michael T Nguyen. 1. Department of Urology, University of Texas Southwestern Medical Center, Dallas, Texas 75390-9063, USA.
Abstract
INTRODUCTION: Tubularized incised plate urethroplasty has now been successfully applied to all varieties of hypospadias. Given this versatility and the good cosmetic outcomes, the operation has achieved widespread popularity. We review important technical aspects of the repair. TECHNICAL CONSIDERATIONS: Key steps include preservation of the urethral plate during correction of the ventral curvature, midline incision of the plate for urethroplasty, and subsequent glansplasty. Lessons learned from personal and published experiences are emphasized. CONCLUSIONS: Tubularized incised plate urethroplasty is currently one of the most popular techniques for hypospadias repair. Attention to important surgical details is needed to obtain optimal functional and cosmetic results.
INTRODUCTION: Tubularized incised plate urethroplasty has now been successfully applied to all varieties of hypospadias. Given this versatility and the good cosmetic outcomes, the operation has achieved widespread popularity. We review important technical aspects of the repair. TECHNICAL CONSIDERATIONS: Key steps include preservation of the urethral plate during correction of the ventral curvature, midline incision of the plate for urethroplasty, and subsequent glansplasty. Lessons learned from personal and published experiences are emphasized. CONCLUSIONS: Tubularized incised plate urethroplasty is currently one of the most popular techniques for hypospadias repair. Attention to important surgical details is needed to obtain optimal functional and cosmetic results.