Outcome of Tubularized incised plate procedure in circumcised hypospadias

Abstract

Background:  The procedure  Tubularized  incised  plate  (TIP) urethroplasty  using  avascularized  dartos  fascia  as  neourethral coverage from the prepuce (foreskin) of uncircumcised patients is the standard procedure, however, in spite of the constant fact that circumcision is contraindicated in babies with hypospadias, still we see unlucky babies already circumcised before repair. 
Aim  of  the  current  study:  To  assess  the  result  of  TIP urethroplasty in circumcised hypospadias patients and to determine how much prior circumcision will complicate or adversely affect the repair of the hypospadias. 
Patients and methods: The data collection extends from March 2010 to December 2016, 40 boys with circumcised hypospadias aged between 11 months to 15 years were primarily repaired using TIP  technique.  Glanular,  coronal,  subcoronal,  distal  penile  and midshaft were all incorporated in this study, all proximal and redo cases were excluded. 
Results: In our study, fistula that needs surgical correction later on developed  in  four  cases  (10%).  Two  patients  (5%)  developed meatal stenosis get better to meatal dilatation. 
Conclusion:  Circumcision  before  hypospadias  repair  has  a minimal adverse effect on the result of tabularized incised plate procedure in children with distal and mid shaft hypospadias.