The cosmetic outcome of distal penile hypospadias repair using stitch-by-stitch glanuloplasty versus TIP: a non-randomized retrospective study
elmoghazy, H., Moktar, T., Borham, G., Mahmoud Siefin, T., riyad, A., Al sharif, A., rashed, A., Badawy, A., Mohamed, E., sharkawy, A. (2024). The cosmetic outcome of distal penile hypospadias repair using stitch-by-stitch glanuloplasty versus TIP: a non-randomized retrospective study. EKB Journal Management System, 28(1), 11-15. doi: 10.21608/smj.2023.225587.1399
Hazem elmoghazy; Tomas Moktar; Ghada Ashry Borham; Tarek Ahmed Mahmoud Siefin; Ahmed Mahmoud riyad; Ahmed Al sharif; Ahmed rashed; Abdelbasset Badawy; Elnisr Rashid Mohamed; Ahmed mamdouh sharkawy. "The cosmetic outcome of distal penile hypospadias repair using stitch-by-stitch glanuloplasty versus TIP: a non-randomized retrospective study". EKB Journal Management System, 28, 1, 2024, 11-15. doi: 10.21608/smj.2023.225587.1399
elmoghazy, H., Moktar, T., Borham, G., Mahmoud Siefin, T., riyad, A., Al sharif, A., rashed, A., Badawy, A., Mohamed, E., sharkawy, A. (2024). 'The cosmetic outcome of distal penile hypospadias repair using stitch-by-stitch glanuloplasty versus TIP: a non-randomized retrospective study', EKB Journal Management System, 28(1), pp. 11-15. doi: 10.21608/smj.2023.225587.1399
elmoghazy, H., Moktar, T., Borham, G., Mahmoud Siefin, T., riyad, A., Al sharif, A., rashed, A., Badawy, A., Mohamed, E., sharkawy, A. The cosmetic outcome of distal penile hypospadias repair using stitch-by-stitch glanuloplasty versus TIP: a non-randomized retrospective study. EKB Journal Management System, 2024; 28(1): 11-15. doi: 10.21608/smj.2023.225587.1399

The cosmetic outcome of distal penile hypospadias repair using stitch-by-stitch glanuloplasty versus TIP: a non-randomized retrospective study

Sohag Medical Journal
Volume 28, Issue 1, 2024, Page 11-15  XML PDF (739.48 K)
Document Type: Original Article
DOI: 10.21608/smj.2023.225587.1399
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Authors
Hazem elmoghazy email 1; Tomas Moktar2; Ghada Ashry Borhamorcid 3; Tarek Ahmed Mahmoud Siefinorcid 4; Ahmed Mahmoud riyad5; Ahmed Al sharif6; Ahmed rashed7; Abdelbasset Badawy8; Elnisr Rashid Mohamed9; Ahmed mamdouh sharkawy10
1urology
2Urology department, Faculty of medicine, Sohag University
3Pediatric department Sohag Faculty of medicine Sohag University
4Department of Urology, Faculty of medicine, Sohag University, Sohag, Egypt
5Urology Department, Faculty of Medicine, Sohag University,Sohag Egypt
6Urology department, faculty of medicine sohag university
7Urology department, faculty of medicine, Sohag University
8Urology department, sohag university
9urology department,Sohag faculty of medicine,Sohag university,Sohag,Egypt
10urology department,sohag faculty of medicine ,sohag,egypt
Abstract
Abstract

Objectives: to determine the cosmetic outcome of using stitch-by-stitch (SBS) glanuloplasty compared to the tubularized incised plate (TIP) technique.

Methods:

We retrospectively reviewed the records of consecutive patients referred for treatment of hypospadias between March 2021 and March 2022. A total of 87 boys underwent hypospadias repair at our institution during this period. We included patients with DPH aged between one and three years. A total of 40 children comprised our study population, of whom 20 underwent a TIP repair and 20 underwent SBS glanuloplasty onlay repair, based on surgeon preference, glans shape, and the width of the uretheral plate. Patients Postoperatively, all patients were followed up at one and three weeks postoperatively then at 3 months to determine the cosmetic outcome and the postoperative complications.

Results: mean age of the patients in the SBS group was 24.55±5.74 months, and 25.65±7.34 months in the TIP group.The parents’ satisfaction rate in the SBS group was 85%, compared to 75% in the TIP group (p=0.659). On the other hand, both groups showed similar rates in terms of other pediatric surgeon satisfaction (80%) and nurse satisfaction (80%). The overall satisfaction rate was slightly higher in the SBS group compared to the TIP group (85% vs. 80%), respectively, with no statistically significant difference (p=0.666). The rate of complications was 25% and 20% in the SBS and TIP groups, respectively.

Conclusion: SBS and TIP techniques are comparable in terms of patients’, nurses’, and surgeons’ satisfaction. Moreover, the complication rate was comparable in both techniques.
Keywords
TIP; Flaps; Glansplasty; hypospadias
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