Abstract 6.  (2)2




Tubularised Incised Plate Urethroplasty for Repair of Hypospadias: Preliminary Report of Outcome in Nigerian Children.




A. Essiet, E. Ikpi, O. Oku, G. Essiet 




In order to assess the suitability of tubularised incised plate urethroplasty (The Snodgrass procedure)1 for repair of Hypospadias in Nigerian children, 11 suitable Nigerian hypospadiacs aged between 2 and 21 years (mean age 4 years) out of 14 seen in a single unit over a 36-month period (Jan 2002 to Dec, 2005) were treated by the method either as primary repair or re-do procedures for their hypospadias. The defect was distal in 7 boys and proximal in four. The procedure involved incision of the urethral plate down to Buck’s fascia throughout the length of the defect and then tubularising the now widened urethral plate to create a neo-urethra. The neo-urethra so created was covered with a de-epithelialised, pedicled, dartos flap from the inner prepuce (where present) or from the penile shaft, before skin closure. Follow up for 6 to 24 months (mean 18 months), showed two cases of fistula, while the cosmetic and functional outcome in the other nine boys were generally satisfactory. We conclude that tubularised incised plate urethroplasty gives as good an outcome in Nigerian children as it does in other racial groups especially when adequate post-op analgesia is ensured. It is well suited for repair of both proximal and distal penile hopospadias, including those with mild to moderate chordee.

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