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Original Research 


Advantages and disadvantages urethral advancement with subglanular tunnel (UASGT) versus tabularized incised plate (TIP) for distal hypospadias repair: A prospective comparative study

Wadhah A. Almarzooq, Salam Abd-Elameer Yahya.

Abstract
Objectives: To assess the efficacy and safety of urethral advancement with sub glanular tunnel (UASGT) in comparison with tabularized incised plate (TIP).
Methodology: This prospective comparative study included any child with distal hypospadias (sub-coronal and distal shaft). The exclusion criteria included previous failed correction surgery, sever chordee, parents' refusal, and micropenis. Sixty patients with sub-coronal and distal shaft hypospadias were enrolled from urosurgery clinic in Hilla Teaching and urosurgery private clinic from October 2020 to October 2022. Patients' ages were between 1 year to 7 years. The first group included 30 patients with sub-coronal and distal shaft hypospadias treated surgically by UASGT while the second group involved 30 patients also with sub-coronal and distal shaft treated by TIP. The choice of type of surgery depended on the parent's preference after explaining the two procedures.
Results: In group 1 patients (UASGT), the mean surgical time was 40.3 minutes while in group 2 (TIP), it was 52.3 minutes. Regarding complications, in group 1, Only 1 (3.3%) patient developed wound dehiscence, and 5 (16.6%) developed meatal stenosis, which required frequent dilatation. Fistula never occurs in group 1. In group 2, 6 (20%) patients developed complete wound dehiscence. There was statistically significant less risk of wound dehiscence (p=0.05) and also less risk of fistula formation with (p<0.001) in the group of patients who were treated with UASGT.
Conclusion: UASGT was used for the treatment of distal types of hypospadias (subcoronal and distal shaft) with significantly less operative time than TIP and fewer post-operative complication like wound dehiscence and fistula formation.

Key words: Hypospadias, UAMAG, fistula, wound dehiscence, congenital anomalies.


 
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How to Cite this Article
Pubmed Style

Almarzooq WA, Yahya SA. Advantages and disadvantages urethral advancement with subglanular tunnel (UASGT) versus tabularized incised plate (TIP) for distal hypospadias repair: A prospective comparative study. RMJ. 2023; 48(2): 403-406. doi:10.5455/rmj.20230312114251

Web Style

Almarzooq WA, Yahya SA. Advantages and disadvantages urethral advancement with subglanular tunnel (UASGT) versus tabularized incised plate (TIP) for distal hypospadias repair: A prospective comparative study. https://www.rmj.org.pk/?mno=146180 [Access: December 06, 2023]. doi:10.5455/rmj.20230312114251

AMA (American Medical Association) Style

Almarzooq WA, Yahya SA. Advantages and disadvantages urethral advancement with subglanular tunnel (UASGT) versus tabularized incised plate (TIP) for distal hypospadias repair: A prospective comparative study. RMJ. 2023; 48(2): 403-406. doi:10.5455/rmj.20230312114251


Vancouver/ICMJE Style

Almarzooq WA, Yahya SA. Advantages and disadvantages urethral advancement with subglanular tunnel (UASGT) versus tabularized incised plate (TIP) for distal hypospadias repair: A prospective comparative study. RMJ. (2023), [cited December 06, 2023]; 48(2): 403-406. doi:10.5455/rmj.20230312114251


Harvard Style

Almarzooq, W. A. & Yahya, . S. A. (2023) Advantages and disadvantages urethral advancement with subglanular tunnel (UASGT) versus tabularized incised plate (TIP) for distal hypospadias repair: A prospective comparative study. RMJ, 48 (2), 403-406. doi:10.5455/rmj.20230312114251


Turabian Style

Almarzooq, Wadhah A., and Salam Abd-Elameer Yahya. 2023. Advantages and disadvantages urethral advancement with subglanular tunnel (UASGT) versus tabularized incised plate (TIP) for distal hypospadias repair: A prospective comparative study. Rawal Medical Journal, 48 (2), 403-406. doi:10.5455/rmj.20230312114251


Chicago Style

Almarzooq, Wadhah A., and Salam Abd-Elameer Yahya. "Advantages and disadvantages urethral advancement with subglanular tunnel (UASGT) versus tabularized incised plate (TIP) for distal hypospadias repair: A prospective comparative study." Rawal Medical Journal 48 (2023), 403-406. doi:10.5455/rmj.20230312114251


MLA (The Modern Language Association) Style

Almarzooq, Wadhah A., and Salam Abd-Elameer Yahya. "Advantages and disadvantages urethral advancement with subglanular tunnel (UASGT) versus tabularized incised plate (TIP) for distal hypospadias repair: A prospective comparative study." Rawal Medical Journal 48.2 (2023), 403-406. Print. doi:10.5455/rmj.20230312114251


APA (American Psychological Association) Style

Almarzooq, W. A. & Yahya, . S. A. (2023) Advantages and disadvantages urethral advancement with subglanular tunnel (UASGT) versus tabularized incised plate (TIP) for distal hypospadias repair: A prospective comparative study. Rawal Medical Journal, 48 (2), 403-406. doi:10.5455/rmj.20230312114251


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