Inner Prepuce Preserving ‘Bird-Winged Coronal-Collar Skin Re Arrangement Modification of Tip Urethroplasty

Authors

  • Prabudh Goel Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India. Author
  • Jile Dar Rawat Departments of Pediatric Surgery, King George’s Medical University, Lucknow, India, All India Institute of Medical Sciences, New Delhi, India. Author
  • Piyush Kumar Departments of Pediatric Surgery, King George’s Medical University, Lucknow, India, All India Institute of Medical Sciences, New Delhi, India. Author
  • Sarita Singh Anesthesiology, King George’s Medical University, Lucknow, India, All India Institute of Medical Sciences, New Delhi, India. Author

DOI:

https://doi.org/10.47363/JDCRS/2020(1)105

Keywords:

Urethroplasty, Prepuce, Tip Urethroplasty, Bird Winged-Coronal Collar Modification

Abstract

Objective: To describe the ‘Bird-Winged Coronal-Collar Skin re-arrangement modification’ of the Tubularized Incised Plate (TIP) urethroplasty to preserve the inner preputial skin on the ventral surface of the penile shaft.

Material and Method: Study Group: Prospective review of the results of a single surgeon with Bird-Winged Coronal-Collar skin re-arrangement modification of TIP urethroplasty (n=111; mean age 4.9 years) of distal (n=76) and mid-penile (n-35) hypospadias (mean follow-up 37 months).

Control Group: Retrospective review of a single surgeon’s results of distal and mid-penile hypospadias repair with standard TIP urethroplasty (2007-11). Outcome parameters (to compare non-inferiority of the modified technique): Urethro-cutaneous fistula (UCF) at voiding trial and follow-up at 3 months, wound infection, complete dehiscence, local edema, meatal stenosis and quality of urinary stream. Statistical analysis was done with the Fischer Exact Test.

Results: With this technique, the authors could provide an inner preputial cover on the ventral/ ventro-lateral aspects of distal penile shaft in all but one patient (complete dehiscence). The results of ‘bird-winged coronal-collar skin re-arrangement’ modification were not-inferior/ comparable to those of standard TIP urethroplasty.

Conclusions: The modification is technically feasible and reproducible and the overall results of urethroplasty were not inferior to the standard TIPS procedure. 

Author Biographies

  • Prabudh Goel, Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.

    Prabudh Goel, Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.

  • Jile Dar Rawat, Departments of Pediatric Surgery, King George’s Medical University, Lucknow, India, All India Institute of Medical Sciences, New Delhi, India.

    Jile Dar Rawat, Departments of Pediatric Surgery, King George’s Medical University, Lucknow, India, All India Institute of Medical Sciences, New Delhi, India.

  • Piyush Kumar, Departments of Pediatric Surgery, King George’s Medical University, Lucknow, India, All India Institute of Medical Sciences, New Delhi, India.

    Piyush Kumar, Departments of Pediatric Surgery, King George’s Medical University, Lucknow, India, All India Institute of Medical Sciences, New Delhi, India.

  • Sarita Singh, Anesthesiology, King George’s Medical University, Lucknow, India, All India Institute of Medical Sciences, New Delhi, India.

    Sarita Singh, Anesthesiology, King George’s Medical University, Lucknow, India, All India Institute of Medical Sciences, New Delhi, India.

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Published

2020-08-31

Issue

Vol. 1 No. 1 (2020): Volume 1 Issue 1

Section

Articles