Comparison between Tubularised Incised Plate Urethroplasty with Preputial Flap Urethroplasty in Anterior and Mid Penile Hypospadias

Introduction - Hypospadias is a common congenital anomaly of the male gender. It is classified into distal or anterior, middle and proximal or posterior hypospadias which are further sub-divided into different types on the basis of the location of the meatus. Aims - To compare between tubularised incised plate and preputial flap onlayurethroplasty for single stage urethroplasty for anterior and mid penile hypospadias without or minimal chordee. Materials And Methods - 75 boys were selected from patients presenting to the LLR Hospital, having hypospadias anomaly. All had comparable anterior and mid-penile deformities with no apparent or minimal chordee. Result - Both technique result in acceptable anterior position of neomeatus and had comparable complication rates. Onlay flap repair have more fistula rate and dehiscence rate. TIP repair has more meatal stenosis rate Conclusion- We prefer TIP repair as being technically easier with simple complications, superior cosmetic outcome and satisfying vertical slit like meatus.