{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T02:46:13Z","timestamp":1785033973035,"version":"3.55.0"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,6,27]],"date-time":"2024-06-27T00:00:00Z","timestamp":1719446400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,6,27]],"date-time":"2024-06-27T00:00:00Z","timestamp":1719446400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Urol"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Objective<\/jats:title>\n                <jats:p>TIP is the most common preformed type of Urethroplasty. The intermediate barrier is used as a waterproofing layer to prevent fistula formation. Many tissues have been utilized as a barrier layer, with varying success rates. The search for a better intermediate layer will continue. In this study, we aim to evaluate the role of Buck\u2019s Fascia as a covering for the neo-urethra to prevent fistula formation in patients who underwent Snodgrass Urethroplasty.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This prospective study was conducted between 2018 and 2022. Patients were randomly assigned to either Group \u2018<jats:bold>A\u2019<\/jats:bold> or Group \u2018<jats:bold>B\u2019<\/jats:bold>. Group A included patients who underwent the Snodgrass procedure with a Buck\u2019s Fascia cover, while Group B included patients whose neo-urethra was covered with the dartos flap. These patients were closely monitored for the development of short- and long-term complications in both groups, and the results were recorded.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The study involved 164 patients, who underwent midpenile and distal hypospadias repair using the Snodgrass technique. In Group \u2018<jats:bold>A\u2019<\/jats:bold> (84 patients), the neo-urethra was covered with Buck\u2019s Fascia, while in Group \u2018<jats:bold>B\u2019<\/jats:bold> (80 patients), the neo-urethra was covered with the dartos flap. The mean age of the children was (23.06\u2009\u00b1\u200916.12) months in group \u2018<jats:bold>A\u2019<\/jats:bold> &amp; (26.06\u2009\u00b1\u200914.07) months in group \u2018<jats:bold>B\u2019<\/jats:bold>. mean operating time was (40\u2009\u00b1\u200911.43) minutes, in Group \u2018<jats:bold>A<\/jats:bold>\u2019, and (70\u2009\u00b1\u200917.43) minutes, in Group \u2018<jats:bold>B\u2019<\/jats:bold>. Meatal stenosis occurred in 3.57% of children in Group \u2018<jats:bold>A\u2019<\/jats:bold> and 10% of patients in Group \u2018<jats:bold>B\u2019<\/jats:bold>. Urethral fistulas were encountered in 2.35% of cases in Group \u2018<jats:bold>A\u2019<\/jats:bold>and 10% in Group \u2018<jats:bold>B\u2019<\/jats:bold>. The difference between the groups was statistically significant.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12894-024-01468-x","type":"journal-article","created":{"date-parts":[[2024,6,27]],"date-time":"2024-06-27T06:01:55Z","timestamp":1719468115000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Comparison of outcome of TIP urethroplasty with or without Buck\u2019s Fascia repair"],"prefix":"10.1186","volume":"24","author":[{"given":"Raashid","family":"Hamid","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aejaz A.","family":"Baba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,6,27]]},"reference":[{"key":"1468_CR1","unstructured":"Matumba CK. Distal hypospadias repair: comparison of Snodgrass versus modified mathieu procedures: a randomized clinical trial [thesis]. Harare, Zimbabwe: University of Zimbabwe; 2013."},{"key":"1468_CR2","first-page":"197","volume":"20","author":"M Gurdal","year":"2004","unstructured":"Gurdal M, Tekin A, Kirecci S, Sengor F. Intermediate\u2013term functional and cosmetic results of the Snodgrass procedure in distal and midpenile hypospadias. Pediatr Surg Int. 2004;20:197.","journal-title":"PediatrSurgInt"},{"key":"1468_CR3","doi-asserted-by":"publisher","first-page":"540","DOI":"10.1046\/j.1464-410X.2001.00090.x","volume":"87","author":"A Marte","year":"2001","unstructured":"Marte A, Di Iorio G, De Pasquale M, Cotrufo AM, Di Meglio D. Functional evaluation of tubularized\u2013incised plate repair of midshaft\u2013proximal hypospadias using uroflowmetry. BJU Int. 2001;87:540\u20133.","journal-title":"BJU Int"},{"key":"1468_CR4","doi-asserted-by":"crossref","unstructured":"Zhang Y, Chao M, Zhang WP, Tang YM, Chen HC, Zhang KP, Lu RG, Zhang XS, Lou DH. Using Buck\u2019s Fascia as an Integral Covering in Urethroplasty to Restore the Anatomical Structure of the Penis in One-Stage; 2021.","DOI":"10.3389\/fped.2021.695912"},{"key":"1468_CR5","doi-asserted-by":"publisher","first-page":"100091","DOI":"10.1016\/j.yjpso.2023.100091","volume":"4","author":"Q Zhou","year":"2023","unstructured":"Zhou Q, Zhang W, Ni X, Song H. Surgical efficacy of tubularized incised plate urethroplasty applying for Buck\u2019s fascia coverage in the treatment of hypospadias. J Pediatr Surg Open. 2023;4:100091\u20131.","journal-title":"J Pediatr Surg Open"},{"key":"1468_CR6","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1016\/S0007-1226(73)80003-7","volume":"26","author":"D Smith","year":"1973","unstructured":"Smith D. A de-epithelialised overlap flap technique in the repair of hypospadias. Br J PlastSurg. 1973;26:106\u201314.","journal-title":"Br J PlastSurg"},{"key":"1468_CR7","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1159\/000281676","volume":"45","author":"GE Voges","year":"1990","unstructured":"Voges GE, Riedmiller H, Hohenfellner R. Tunica Vaginalis free grafts for closure of urethrocutaneous fistulas. UrolInt. 1990;45:88\u201391. https:\/\/doi.org\/10.1159\/000281676.","journal-title":"UrolInt"},{"key":"1468_CR8","doi-asserted-by":"publisher","first-page":"464","DOI":"10.1016\/S0022-5347(17)34991-1","volume":"151","author":"WT Snodgrass","year":"1994","unstructured":"Snodgrass WT. Tubularized incised plate urethroplasty for distal hypospadias. 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Indian J Urol. 2008;24:241\u20138.","journal-title":"Indian J Urol"},{"key":"1468_CR16","doi-asserted-by":"crossref","unstructured":"Elbatarny AM, Shehata SM, Ismail KA. Megameatus intact prepuce variety of hypospadias: Tips for repair using the modified glanular approximation procedure. Ann PediatrSurg. 2011;7:82\u20137.","DOI":"10.1097\/01.XPS.0000398026.62997.14"}],"container-title":["BMC Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12894-024-01468-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12894-024-01468-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12894-024-01468-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,27]],"date-time":"2024-06-27T06:04:01Z","timestamp":1719468241000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcurol.biomedcentral.com\/articles\/10.1186\/s12894-024-01468-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,27]]},"references-count":16,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["1468"],"URL":"https:\/\/doi.org\/10.1186\/s12894-024-01468-x","relation":{},"ISSN":["1471-2490"],"issn-type":[{"value":"1471-2490","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,27]]},"assertion":[{"value":"11 January 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 March 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 June 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethical approval for the study was obtained from the institutional ethical committee (IEC\/SKIM\/23\/2\/2021). Informed consent was acquired from the parents for publication.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"133"}}