Comparative study: TIP vs GTIP (dorsal inlay inner prepuce graft) in distal hypospadias repair with undeveloped urethral plate

Elnagar, Abd Elnaser; Hawas, Emad; Mohammed, Ahmed; Anwar, Seham

doi:10.21608/ejmr.2025.353332.1780

Comparative study: TIP vs GTIP (dorsal inlay inner prepuce graft) in distal hypospadias repair with undeveloped urethral plate

Document Type : Original Article

Authors

Department of Surgery, Faculty of Medicine, Beni-Suef University, Beni-Suef , Egypt

10.21608/ejmr.2025.353332.1780

Abstract

Hypospadias is a common congenital anomaly of the male urethra, characterized by the abnormal positioning of the urethral meatus, ventral curvature of the penis (chordee), and a dorsal hooded prepuce. Distal hypospadias, the most prevalent form, often involves a urethral plate of variable quality, posing challenges in surgical reconstruction. This was a randomized controlled investigation that carried out on 20 cases at the plastic surgery department, Beni-suef University hospital. cases have been equally randomized utilizing the closed envelope method into 2 groups Group A utilizing grafted tabularized incised plate urethroplasty technique. Group B utilizing classic Snodgrass tabularized incised plate urethroplasty. Study was conducted from December 2019 to December 2020. This study provide that Patient Demographics were Comparable across groups. The range of MCGU scores for both groups was from 5 to 7, with the median score for both groups being 6. This suggests that while the scores for both groups were similar, there was no significant difference in the distribution of scores between the two groups based on the p-value greater than 0.05. the study did not find any statistically significant differences in the occurrence of complications between Group A and Group B. This suggests that, based on the data collected, the complications observed in both groups are comparable, and any observed differences are likely due to random variation rather than a true effect. the comparison of HOSE scores indicates a small difference between the two groups, with Group A having a slightly higher mean score. However, given the p-value of 0.052, this difference is not statistically significant, and the results could likely be due to chance.

Keywords

Main Subjects

Surgery ·

References

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