{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T09:28:21Z","timestamp":1769506101372,"version":"3.49.0"},"reference-count":28,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003The original description of tubularized incised plate urethroplasty (TIPU) was provided by Snodgrass in 1994. The results were significantly improved by several modifications. To decrease the incidence of complications, interposing a vascularized flap after tubularization of the neourethra is recommended. The extent to which the type of interposed tissue has a direct effect on the rate of complications and cosmetic outcomes after TIPU repair is considered the answer to the main hypothesis of this study.<\/jats:p><jats:p>\n          Materials and Methods\u2003This prospective controlled randomized trial was conducted in the Department of Pediatric Surgery, Al-Azhar University, Cairo, Egypt, between May 2019 and May 2023. A total of 220 patients were included in this study. Patients were randomly assigned to either group A or group B. Group A included 110 patients who underwent TIPU with spongioplasty\u2013dartosoraphy reinforcement. The other 110 patients (group B) underwent TIPU with dorsal dartos flap interposition, without spongioplasty.<\/jats:p><jats:p>\n          Results\u2003Complications developed in 34 of 220 patients (15.4%). In group A, complications developed in 11 of 110 patients (10.0%). In group B, complications occurred in 23 of 110 patients (20.9%). Although the fistula rate, glanular dehiscence, disruption, and meatal stenosis were not significantly different between the study groups, the skin necrosis rate was significantly lower in group A than in group B. The overall complication rate was significantly lower in group A than in group B. Also, the difference in the mean Hypospadias Objective Scoring Evaluation between the two groups was statistically significant.<\/jats:p><jats:p>\n          Conclusion\u2003TIPU with spongioplasty\u2013dartosoraphy reinforcement is an effective modification of conventional TIPU. This modification appears to reduce the rate of complications and yield better cosmetic outcomes.<\/jats:p>","DOI":"10.1055\/s-0044-1779277","type":"journal-article","created":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T23:44:26Z","timestamp":1706053466000},"page":"473-481","source":"Crossref","is-referenced-by-count":2,"title":["Evaluation of Tubularized Incised Plate Urethroplasty with Spongioplasty\u2013Dartosoraphy Reinforcement in Pediatric Hypospadias: A Randomized Controlled Study"],"prefix":"10.1055","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0558-6402","authenticated-orcid":false,"given":"Mohammad","family":"Daboos","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Al-Azhar University Faculty of Medicine, Nasr City, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Abdelmaboud","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Al-Azhar University Faculty of Medicine, Nasr City, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Azab","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Al-Azhar University Faculty of Medicine, Nasr City, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Abdelaziz","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Al-Azhar University, Nasr City, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hany","family":"Eldamanhory","sequence":"additional","affiliation":[{"name":"Department of Urology, Al-Azhar University Faculty of Medicine, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,1,23]]},"reference":[{"key":"ref1","first-page":"9","volume-title":"Hypospadias embryology, etiology, and classification","author":"M S Ansari","year":"2022","edition":"1st ed."},{"key":"ref2","first-page":"3","volume-title":"History of external genital surgery","author":"B Rogers","year":"1973"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1016\/S0022-5347(17)34991-1","article-title":"Tubularized, incised plate urethroplasty for distal hypospadias","volume":"151","author":"W Snodgrass","year":"1994","journal-title":"J Urol"},{"key":"ref4","first-page":"101","volume-title":"Modified tubularized incised urethral plate urethroplasty","author":"A Bhat","year":"2022","edition":"1st ed."},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"e000294","DOI":"10.1136\/wjps-2021-000294","article-title":"Comparison of dartos flap and spongioplasty in Snodgrass urethroplasty in distal penile hypospadias","volume":"4","author":"A Verma","year":"2021","journal-title":"World J Pediatr Surg"},{"issue":"06","key":"ref6","doi-asserted-by":"crossref","first-page":"2047","DOI":"10.1016\/S0022-5347(01)65432-6","article-title":"The dartos flap as an adjunct in preventing urethrocutaneous fistulas in repeat hypospadias surgery","volume":"156","author":"B M Churchill","year":"1996","journal-title":"J Urol"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1111\/j.1464-410X.1993.tb00710.x","article-title":"Dartos flap: an aid to urethral reconstruction","volume":"72","author":"H G Motiwala","year":"1993","journal-title":"Br J Urol"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1016\/S0022-5347(17)45106-8","article-title":"Use of tunica vaginalis to prevent fistulas in hypospadias surgery","volume":"136","author":"B W Snow","year":"1986","journal-title":"J Urol"},{"issue":"05","key":"ref9","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1111\/j.1464-410X.1990.tb14802.x","article-title":"Tunica vaginalis: an aid in hypospadias surgery","volume":"65","author":"Z Kirkali","year":"1990","journal-title":"Br J Urol"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1016\/S0022-5347(17)42022-2","article-title":"De-epithelialized skin flap coverage in hypospadias repair","volume":"140","author":"A B Belman","year":"1988","journal-title":"J Urol"},{"issue":"05","key":"ref11","doi-asserted-by":"crossref","first-page":"1536","DOI":"10.1016\/S0022-5347(05)67673-2","article-title":"Y-to-I wrap: use of the distal spongiosum for hypospadias repair","volume":"163","author":"E B Yerkes","year":"2000","journal-title":"J Urol"},{"issue":"03","key":"ref12","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1046\/j.1464-410x.2001.02280.x","article-title":"HOSE: an objective scoring system for evaluating the results of hypospadias surgery","volume":"88","author":"A J Holland","year":"2001","journal-title":"BJU Int"},{"issue":"02","key":"ref13","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1046\/j.1442-2042.2002.00426.x","article-title":"Tubularized incised plate urethroplasty for proximal hypospadias","volume":"9","author":"K Mizuno","year":"2002","journal-title":"Int J Urol"},{"issue":"03","key":"ref14","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1007\/s003450050050","article-title":"Primary and reoperative hypospadias repair with the Snodgrass technique","volume":"16","author":"A B Retik","year":"1998","journal-title":"World J Urol"},{"issue":"02","key":"ref15","doi-asserted-by":"crossref","first-page":"703","DOI":"10.21037\/tau-20-1243","article-title":"Urethral plate in tubularized incised plate urethroplasty: how wide is enough?","volume":"10","author":"B Zhang","year":"2021","journal-title":"Transl Androl Urol"},{"issue":"06","key":"ref16","doi-asserted-by":"crossref","first-page":"625.e1","DOI":"10.1016\/j.jpurol.2017.05.020","article-title":"Pre-incision urethral plate width does not impact short-term tubularized incised plate urethroplasty outcomes","volume":"13","author":"N C Bush","year":"2017","journal-title":"J Pediatr Urol"},{"issue":"06","key":"ref17","doi-asserted-by":"crossref","first-page":"355.e1","DOI":"10.1016\/j.jpurol.2015.05.029","article-title":"Glans size is an independent risk factor for urethroplasty complications after hypospadias repair","volume":"11","author":"N C Bush","year":"2015","journal-title":"J Pediatr Urol"},{"issue":"02","key":"ref18","doi-asserted-by":"crossref","first-page":"241","DOI":"10.4103\/0970-1591.40622","article-title":"Acute postoperative complications of hypospadias repair","volume":"24","author":"A Bhat","year":"2008","journal-title":"Indian J Urol"},{"issue":"03","key":"ref19","doi-asserted-by":"publisher","DOI":"10.3834\/uij.1944-5784.2009.06.13","article-title":"Tubularized incised-plate (TIP) repair augmented by spongioplasty for distal and midpenile hypospadias","volume":"2","author":"W M Gamal","year":"2009","journal-title":"UIJ"},{"issue":"02","key":"ref20","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.jpurol.2014.12.006","article-title":"Meta-analysis of complication rates of the tubularized incised plate (TIP) repair","volume":"11","author":"K L Pfistermuller","year":"2015","journal-title":"J Pediatr Urol"},{"issue":"04","key":"ref21","doi-asserted-by":"crossref","first-page":"392","DOI":"10.4103\/0970-1591.134234","article-title":"Outcome of tubularized incised plate urethroplasty with spongioplasty alone as additional tissue cover: a prospective study","volume":"30","author":"A Bhat","year":"2014","journal-title":"Indian J Urol"},{"key":"ref22","first-page":"452870","article-title":"Necrosis of the ventral penile skin flap: a complication of hypospadias surgery in children","author":"\u00dc Bakal","year":"2015","journal-title":"Adv Urol"},{"issue":"01","key":"ref23","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1186\/s12894-020-00737-9","article-title":"Comparison of effect between dartos fascia and tunica vaginalis fascia in TIP urethroplasty: a meta-analysis of comparative studies","volume":"20","author":"H Yang","year":"2020","journal-title":"BMC Urol"},{"issue":"03","key":"ref24","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1016\/j.urology.2010.07.467","article-title":"Risk factors for re-operation following tubularized incised plate urethroplasty: a comprehensive analysis","volume":"77","author":"W Eassa","year":"2011","journal-title":"Urology"},{"issue":"06","key":"ref25","doi-asserted-by":"crossref","first-page":"1330","DOI":"10.1016\/j.urology.2013.01.005","article-title":"Can spongioplasty prevent fistula formation and correct penile curvature in TIP urethroplasty for hypospadias?","volume":"81","author":"Y Hayashi","year":"2013","journal-title":"Urology"},{"issue":"01","key":"ref26","doi-asserted-by":"crossref","first-page":"58","DOI":"10.4103\/0970-1591.194785","article-title":"Double breasting spongioplasty in tubularized\/tubularized incise plate urethroplasty: a new technique","volume":"33","author":"A Bhat","year":"2017","journal-title":"Indian J Urol"},{"issue":"02","key":"ref27","first-page":"212","article-title":"Assessment of postoperative cosmetic outcomes of distal form hypospadias repair with the Hypospadias Objective Scoring Evaluation (HOSE)","volume":"19","author":"A Jonuzi","year":"2022","journal-title":"Med Glas"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1186\/s12301-021-00255-6","article-title":"Cosmetic outcomes of grafted tubularized incised plate urethroplasty in primary distal penile hypospadias: prospective comparative study with the classic Snodgrass repair","volume":"27","author":"S Ahmed","year":"2021","journal-title":"Afr J Urol"}],"container-title":["European Journal of Pediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0044-1779277.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T23:34:25Z","timestamp":1730849665000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0044-1779277"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,23]]},"references-count":28,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2024,11,5]]},"published-print":{"date-parts":[[2024,12]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0044-1779277","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0939-7248","1439-359X"],"issn-type":[{"value":"0939-7248","type":"print"},{"value":"1439-359X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,23]]}}}