I.M. KAGANTSOV¹, N.R. AKRAMOV²

¹Republican Children’s Hospital, 116/6 Pushkin St., Syktyvkar, Russian Federation, 167000

²Kazan State Medical University, 49 Butlerov St., Kazan, Russian Federation, 420012

Kagantsov I.M. — Cand. Med. Sc., Head of Urollogy Departent, tel. (8212) 22-98-50, e-mail: ilkagan@rambler.ru

Akramov N.R. — D. Med. Sc., Professor of the Department of Children’s Surgery, tel. +7-917-253-77-20, e-mail: aknail@rambler.ru

The article presents the results of treatment of 322 boys with hypospadias, including 208 (64,6%) children with a distal form of hypospadias, 70 (21,7%) with median, and 44 (13,7%) with a proximal form. The tubularized incised plate (TIP) technique has been performed in our Department since 2001 for the distal form of hypospadias. Since 2008 this operation has been performed for the median and proximal forms. By that time it had become clear that forming of a new urethra from the existing urethral plate is the most optimal technique. In case of the urethral plate underdevelopment it can be cured by augmentation, in case of its absence the new urethra should be formed. According to these provisions, we have developed an algorithm for choosing the technique which depends on the state of the urethral plate and penile curvature. The operated children were divided into two groups: the first group was treated by the technique which was chosen concerning the developed algorithm, the second one was operated according to the traditional approach. Having compared the results, we saw significant difference in the correction outcomes of all forms of hypospadias. All the complications in the first group were resolved with one reoperation, but 41 patients from the second group patients underwent 67 reoperations.

Key words: hypospadias, children, urethral plate, urethroplasty, tubularized incised plate

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