The purpose of this study is to determine the efficacy and safety of tubularized incised plate urethroplasty versus foreskin graft tubularized incised plate urethroplasty in primary hypospadias. This study only included patients with width of urethral plate ≤ 7 mm, width of glans ≤ 14 mm, and urethral plate depth shallow o moderate.
Urethroplasty technique more used in the world for hypospadias repair is Tubularized Incised Plate described by Snodgrass in 1994. Kolon and Gonzales described a technical modification to the TIP in 2000, which is called grafting foreskin. There are characteristics of the glans and urethral plate favoring the development of complications. In this study the researchers include patients with primary hypospadias, with these characteristics above, and compare two surgical techniques: TIP vs FG-TIP. The main aim is to determine the efficacy (functional and cosmetic) and safety (complications) of TIP vs FG-TIP. The study design is a randomized clinical trial, double blind (patient and evaluator), parallel groups. The sample size was calculated comparing two proportions, with a alpha 0.05, beta 0.2; 34 patients per group. The main outcome is complications.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
68
TIP Urethroplasty with foreskin graft in primary hypospadias
TIP Urethroplasty without foreskin graft in primary hypospadias
Proportion of participants with complications as a measure of safety
Time frame: Fourth month after surgery
Proportion of participants with fistula as a measure of safety
Time frame: Fourth month after surgery
Proportion of participants with stricture as a measure of safety
Time frame: Fourth month after surgery
Proportion of participants with breakdown as a measure of safety
Time frame: Fourth month after surgery
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