Assessment of the outcome of G-TIP technique in primary distal hypospadias repair in comparison to TIP repair using HOSE score_This study had been performed between June 2018 and June 2019 which included 50 patients all presented to urological outpatient clinic of Benha university hospital -Egypt- with different types of primary distal hypospadias. They were divided into two groups (Group A operated upon using classic Snodgrass TIP urethroplasty and Group B operated upon using G-TIP urethroplasty technique), each group included 25 patients. Circumcised cases or cases with penile chordea more than 30 degree were excluded from the study. Urethral catheter was left in place for one week to 10 days.Follow up was regularly at 1st, 3rd and 6th months (3 patients didn't attend the 6th month follow up 2 from group A TIP and one from the G-TIP group B). Mean HOSE score a t 6th month was 15.7 out of 16 in TIP and 15.5 in G-TIP (P 0.52 {NS)). In the TIP group the score was due to complications which included a case of urethrocutaneous fistula and a case of meatal stenosis with urethrocutaneous fistula while in the G-tip a case of glans dehiscence and a case of mild residual chordea. All results showed no significant statistical difference between the two groups except longer operative time 91.4-1-6.2 minutes in_the G-TIP group compared to only 85.2+6.3 for TIP group (P 0.002 (S)), the time spent for harvesting, preparing and relaying the graft._WE concluded that G-TIP urethroplasty is a good alternative technique to the classic TIP repair with comparable results and although there were no significant statistical difference between the 2 groups regarding complications, G-TIP groups showed better results as regard meatal stenosis and urethrocutaneous fistula but with longer operative time. |
