Efficacy of tubularized-incised plate urethroplasty in the management of adult hypospadias

Purpose: we aim to evaluate efficacy and feasibility of tubularized-incised plate urethroplasty repair in adult patients with hypospadias. materials and methods: between march 2013 and february 2016, 12 adult patients with primary hypospadias who underwent tubularized-incised plate urethroplasty repair were included in this study. the mean age of patients, location of urethra, existence of penile chordee, and the mean operation time, operative complications, urethral catheter removal time and length of hospital stay were analyzed retrospectively. all patients received uroflowmetry at postoperative 6th months. surgical success was determined as a good cosmetic appearance with non-stenotic vertical mea tus at tip of the penis and a uroflowmetry with a maximum urinary flow rate > 20 ml/sc. results:the mean patient age was 22.1 years. the mean operation time, length of hospital stay and urethral catheter removal time were 105 minutes, 3 and 8.16 days, respectively. two patients have mild penile chordee. no early post-operative complication has occurred. the urethocutaneous fistula was observed in one patient at the mean follow up of 19 months. surgical success was determined as %91.6. mean q max on post-operative uroflowmetry was measured as >20 ml/sc in all patients except one who have urethrocutaneous fistula formation. conclusion: tubularized-incised plate urethroplasty repair seems as an effective and feasible treatment in adult hypospadias patients with acceptable cosmetic and functional result.