Hypospadias repair; four years experience at Allied Hospital, Faisalabad

ABSTRACT

To compare the results of Tubularized Incised Plate Urethroplasty with Mathieu repair. Prospective Randomized comparative study. Department of Urology Allied Hospital, Faisalabad from May 2001 to April 2005.Patients 48 patients with distal hypospadias were included in the study. Twenty four patients were treated with Tubularized Incised Plate Urethroplasty [TIPU] and 24 were managed with Mathieu repair. The mean age at presentation was 7 years. Good cosmetic and functional results were achieved by all techniques. The overall success rate of TIPU was 83.33% and that of Mathieu repair 79.16% for the management of distal hypospadias. In Mathieu repair, urethrocutaneous fistula developed in 04 patients and total disruption in 01 patient. Meatal stenosis occurred in 02 cases who responded well to regular dilatation. In TIPU, 03 patients developed urethrocutaneous fistula. Total disruption was seen in 01 patient and meatal stenosis in 03 cases which responded well to regular dilatation. All the techniques are good for hypospadias repair. However TIPU proved to be the best technique for management of all type of hypospadias