Background: Dating the final 2 decades, tabularized incised plate procedure (TIP) for repair of distal
penile hypospadias is the foremost common method at numerous institutions.
Aim and objectives: the aim of the study was to study the relationship between penile glans diameter
and urethral caliber in neonates with normal penile development, as a preliminary step to understand the
underlying factors for glans dehiscence after hypospadias repair in babies with small glans.
Subjects and methods: This prospective observational clinical study was conducted in General
Surgery Department of Benha University Hospital, on 100 Boys with normally developed penis. The duration
of the study ranged from 6-12 months.
Results: Glans Width (cm) in the study population ranged from 1.1 to 1.9 with mean ± SD = 1.5 ± 0.16.
Correlation between Glans diameter (cm) and Meatal caliber (F) was 0.59 which indicates a strong positive correlation. Conclusion: The present study highlights the value of the width proportion of the urethral plate to the glans for objectivity and accuracy in urethral plate evaluation, which in turn serves as an independent factor influencing outcomes in tabularized incised plate repair. |