Tubularized incised plate urethroplasty for the repair of distal and mid penile hypospadias

Objectives: the objective of this study was to evaluate the results of tubularized incised plate urethroplasty performed for distal and mid-penile hypospadias,without chordee. material and methods: this was a prospective and descriptive study performed in paediatric surgery unit khyber teaching hospital,peshawar from march,2007 to february,2008. all patients with distal and mid-penile hypospadias without chordee were admitted through out patiens department (opd). repair was performed by one surgeon with pds 6/0 suture. feeding tube was used for bladder drainage and it was removed on the 5th post-operative day. patients were followed for 6 months after surgery. results: fifty patients were operated. age ranged between 2 to 6 years. means age was 3.84 years. the procedure was successful in 39 (78%) patients while 11 (22%) patients developed complications. three (6%) patients developed meatal stenosis while 8 (16%) patients developed urethrocutaneons fistula. in 3 (6%) patients appearance of the glans was not conical although there was no meatal stenosis or fistula. conclusion: tubularized incised plate urethroplasty is a very good,cosmetically acceptable,single stage repair procedure for distal and mid penile hypospadias.