{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T20:36:30Z","timestamp":1761510990356},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2019,8,26]],"date-time":"2019-08-26T00:00:00Z","timestamp":1566777600000},"content-version":"vor","delay-in-days":1943,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Plast Surg"],"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>\n          Background: Today, tubularized incised plate (TIP) urethroplasty is the most commonly performed operation for distal and mid-penile hypospadias. Reports from different centers worldwide confirm its nearly universal applicability and low complications rate. Aim: Evaluation of the urethral plate characters and its effect on the outcome of TIP urethroplasty. Materials and Methods: Between 2010 and 2013, 100 children with primary distal penile hypospadias underwent TIP urethroplasty. Urethral plates were categorized as flat, cleft, and deeply grooved. Postoperatively, patients were followed-up for evaluation of meatal stenosis, fistula formation, and glandular dehiscence at 1 st , 3 rd and 6 th months. Patients were followed-up for urethral calibration by urethral sound 8 Fr at 3 rd and 6 months follow-up. Data were statistically analysed using Epi info program to correlate between the width, plate shape, and complications. Results: Mean age at surgery was 4.3 years. Patients were followed-up for an average period of 6.4 months. Pre-operative location of the meatus was reported as coronal in 46, subcoronal in 50 and anterior penile in 4 cases. Urethral plate characters were flat in 26 cases, cleft in 52, and deeply grooved in 22. Urethral plate width was &gt;8 mm in 74 cases and &lt;8 mm in 26. Patients with urethral plate &lt;8 mm had a statistically significant higher fistula rate (P = 0.004) and failed 8 Fr calibrations in 26.9% (P = 0.01) compared with the patients with urethral plate &gt;8 mm. In addition, we also founds higher fistula rate and failed 8 Fr calibrations in flat urethral plate. Conclusions: An adequate urethral plate width (&gt;8 mm) is essential for successful TIP repair. Lower success rates with flat plates may need buccal mucosal augmentation to improve the results.<\/jats:p>","DOI":"10.4103\/0970-0358.138956","type":"journal-article","created":{"date-parts":[[2014,8,20]],"date-time":"2014-08-20T12:24:09Z","timestamp":1408537449000},"page":"221-237","source":"Crossref","is-referenced-by-count":6,"title":["Role of the urethral plate characters in the success of tubularized incised plate urethroplasty"],"prefix":"10.1055","volume":"47","author":[{"given":"Hamdy","family":"Aboutaleb","sequence":"additional","affiliation":[{"name":"Departments of Urology, Minoufiya University Hospitals, Egypt"},{"name":"Departments of Urology, Mayo Hospital, Hodiedah, Yemen"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,8,26]]},"reference":[{"key":"key-10.4103\/0970-0358.138956-1","first-page":"1156","volume-title":"Distal hypospadias repair by the modified Thiersch-Duplay technique with or without hinging the urethral plate: A near ideal way to correct distal hypospadias","author":"Decter","year":"1999","journal-title":"J Urol"},{"key":"key-10.4103\/0970-0358.138956-2","first-page":"839","volume-title":"Tubularized incised plate hypospadias repair: Results of a multicenter experience","author":"Snodgrass","year":"1996","journal-title":"J Urol"},{"key":"key-10.4103\/0970-0358.138956-3","first-page":"186","volume-title":"Primary and reoperative hypospadias repair with the Snodgrass technique","author":"Retik","year":"1998","journal-title":"World J Urol"},{"key":"key-10.4103\/0970-0358.138956-4","first-page":"581","volume-title":"Tubularized incised plate urethroplasty: Expanded use in primary and repeat surgery for hypospadias","author":"Borer","year":"2001","journal-title":"J Urol"},{"key":"key-10.4103\/0970-0358.138956-5","first-page":"2354","volume-title":"A multicenter evaluation of technical preferences for primary hypospadias repair","author":"Cook","year":"2005","journal-title":"J Urol"},{"key":"key-10.4103\/0970-0358.138956-6","first-page":"1","volume-title":"Controversies in hypospadias surgery: The urethral plate.Part II","author":"Mouriquand","year":"1996","journal-title":"Dial Pediatr Urol"},{"key":"key-10.4103\/0970-0358.138956-7","first-page":"728","volume-title":"Anatomical studies of the urethral plate: Why preservation of the urethral plate is important in hypospadias repair","author":"Erol","year":"2000","journal-title":"BJU Int"},{"key":"key-10.4103\/0970-0358.138956-8","first-page":"1095","volume-title":"The effect of urethral catheter size on meatal stenosis formation in children undergoing tubularized incised plate urethroplasty","author":"Karakus","year":"2014","journal-title":"Urol J"},{"key":"key-10.4103\/0970-0358.138956-9","first-page":"639","volume-title":"Overnight urethral stenting after tubularized incised plate urethroplasty for distal hypospadias","author":"Ritch","year":"2010","journal-title":"Pediatr Surg Int"},{"key":"key-10.4103\/0970-0358.138956-10","first-page":"464","volume-title":"Tubularized, incised plate urethroplasty for distal hypospadias","author":"Snodgrass","year":"1994","journal-title":"J Urol"},{"key":"key-10.4103\/0970-0358.138956-11","first-page":"1260","volume-title":"Effect of urethral plate characteristics on tubularized incised plate urethroplasty","author":"Nguyen","year":"2004","journal-title":"J Urol"},{"key":"key-10.4103\/0970-0358.138956-12","first-page":"424","volume-title":"One-stage hypospadias repair: Experience of 367 cases","author":"Rickwood","year":"1991","journal-title":"Br J Urol"},{"key":"key-10.4103\/0970-0358.138956-13","first-page":"514","volume-title":"Tubularized incised plate urethroplasty using buccal mucosa graft for repair of penile hypospadias","author":"Tavakkoli","year":"2012","journal-title":"Urol J"},{"key":"key-10.4103\/0970-0358.138956-14","first-page":"88","volume-title":"Tubularization of the incised urethral plate (Snodgrass procedure) for primary hypospadias surgery","author":"Sugarman","year":"1999","journal-title":"BJU Int"},{"key":"key-10.4103\/0970-0358.138956-15","first-page":"146","volume-title":", Bader-Eldin M.Distal hypospadias repair with tubularized incised plate: Results, complications and management","author":"Khairallah","year":"2000","journal-title":"Menoufiya Med J"},{"key":"key-10.4103\/0970-0358.138956-16","first-page":"489","volume-title":"Effect of the depth and width of the urethral plate on tubularized incised plate urethroplasty","author":"Holland","year":"2000","journal-title":"J Urol"},{"key":"key-10.4103\/0970-0358.138956-17","first-page":"540","volume-title":"Functional evaluation of tubularized-incised plate repair of midshaft-proximal hypospadias using uroflowmetry","author":"Marte","year":"2001","journal-title":"BJU Int"},{"key":"key-10.4103\/0970-0358.138956-18","first-page":"682","volume-title":"Single stage dorsal inlay buccal mucosal graft with tubularized incised urethral plate technique for hypospadias reoperations","author":"Ye","year":"2008","journal-title":"Asian J Androl","ISSN":"http:\/\/id.crossref.org\/issn\/1008-682X","issn-type":"print"}],"container-title":["Indian Journal of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/0970-0358.138956.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,8,26]],"date-time":"2019-08-26T22:51:30Z","timestamp":1566859890000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.4103\/0970-0358.138956"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,5]]},"references-count":18,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2019,8,26]]},"published-print":{"date-parts":[[2014,5]]}},"URL":"https:\/\/doi.org\/10.4103\/0970-0358.138956","relation":{},"ISSN":["0970-0358","1998-376X"],"issn-type":[{"value":"0970-0358","type":"print"},{"value":"1998-376X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,5]]}}}