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Stent-Free, Tubularised Incised Plate Repair of Distal Hypospadias Feasible Irrespective of Age: Presented at CURy By Chris Berrie BARCELONA, SPAIN -- February 5, 2008 -- Use of stent-free, tubularised incised plate (TIP) repair of distal hypospadias provides advantages that are greater than those seen for any other repair technique, and the benefits are irrespective of the patient's age, according to a study presented here at the World Congress on Controversies in Urology (CURy). "It is a big problem for the children to leave a stent after the operation on the hypospadia of the penis, as it is very uncomfortable," said principal investigator Salmai Turial, MD, Paediatric Surgeon, Department of Paediatric Surgery, University Medical Centre, Mainz, Germany. Dr. Turial and colleagues have thus performed stent-free treatment of distal penile hypospadias according to the Snodgrass procedure, as day surgery, since October 2005. A urethral stent is still used intraoperatively for the tubularisation of the neourethra, but it is removed at the end of the procedure, the researchers said in a poster presentation on February 2. In their study, the researchers included 36 boys aged 7 months to 16 years (median age, 4.8 years), and prepuce reconstruction was performed at the same time in nine cases. Patients could be discharged the same day, and bactericidal ointment was used instead of dressing the wound. Although the researchers thought there might be a risk of urinary retention due to patient anxiety, Dr. Turial said this did not occur in any patient, and there was no dysuria after the first postoperative day. At a follow-up of 1 to 26 months, there was one fistula recorded, with no cases of meatal stenosis, glans dehiscence, or wound infection. Dr. Turial indicated that the complication rates were even lower than was seen with the standard stent procedure. He also noted that the parents were very satisfied, mainly because of the absence of catheters and the resulting comfort for their child. Although Dr. Turial indicated that this study should be considered preliminary as it has a relatively short follow-up period to date, the researchers feel that the advantages of this procedure are greater than those seen for any other similar repair technique. [Presentation title: A Stent-Free, Tubularised Incised Plate (TIP) Repair of Distal Hypospadias Is Feasible Irrespective of Age. Poster 55] E-mail this page to a friend or colleague! To print, use this version