Abstract

Objective: To report our success rate, complications and cosmetic results with distal penile hypospadias treated by tabularized incised plate urethroplasty.
Methodology: This retrospective study was done at Prince Rashid bin Alhassan Hospital from June 2011 to April l2013 and included 83 patients with distal penile hypospadias who underwent tabularized incised plate urethroplasy for the first time. All patients were followed for up 24 months after surgery.
Results: Patients age ranged from 2-8 years; mean age was 4 years. 69 (83%) patients had excellent functional and cosmetic results without any complications. Complications were seen in 14 patients. Urethrocatanous fistula was seen in 8 (10%) patients, meatal stenosis in 2 (2.4%), complete disruption of the glans in 1 (1.2%) and penile rotation was seen in 3 (3.6%) patients.
Conclusion: Tabularized incised plate urethroplasty for distal penile hypospadias repair resulted in excellent functional neourethra, excellent glans and meatus shape and low complications rate.

Key words: Hypospadias, urethroplasty, uretherocutaneous fistula.