الفهرس | Only 14 pages are availabe for public view |
Abstract Background:Hypospadias is one of the most common congenital anomalies of male external genitalia, in which the external urethral meatus exits ventrally any where from the glans to the perineum.There are many surgical modalities for reconstruction but with different rates of success. Aim:This study aims to compare the outcome of using dartos flap versus spongioplasty in TIP urethroplasty operation for distal hypospadius as regards operative time, cosmetic outcome and complications rate e.g. fistula, disruption and infection.Methods: 30 patients were selected, divided into 2 groups (15 per each), group A underwent TIP repair with dartos flap, while group B underwent TIP repair with spongioplasty. Results:Both groups show the same percentage of urethrocutaneous fistula (about 13 %)but in group B 2 patients had complete disruption. We concluded that spongioplasty is not superior to dartos flap in preventing post-operative complications specially urethrocutaneous fistula, with no better cosmetic outcome. |