Urology Clinic, Dr. Lütfi Kirdar Kartal Training and Research Hospital, Kartal, Istanbul, Turkey.
Int Urol Nephrol. 2009 Dec;41(4):755-9. doi: 10.1007/s11255-009-9546-9. Epub 2009 Mar 12.
We have compared our success and complication rates using the single-step "TIPU" (tubularized incised plate urethroplasty) and two-step Belt-Fuqua techniques in patients with proximal penile hypospadias.
Sixty-five patients with proximal penile hypospadias were operated on in our clinic between 1998 and 2008: 31 by the "TIPU" technique and 34 by the Belt-Fuqua technique. The correction of the chordee was accomplished with dorsal plication and corporal body grafting in 18 patients in the "TIPU" group and at the first stage in all patients in the Belt-Fuqua group.
The mean age of the patients was 6.2 years in the "TIPU" group and 6.6 years in the Belt-Fuqua group. The mean follow-up duration was 9.2 and 7.9 months, respectively. The overall complication rate was 22.6% in the "TIPU" group and 11.8% in the Belt-Fuqua group. In both groups, the cosmetic appearance of a natural vertical slit glanular meatus situated at the normal position on the glans was achieved.
The two-step Belt-Fuqua technique is accepted as a good alternative treatment modality because of low complication rates and good results in selected cases with proximal penile hypospadias.
我们比较了使用单步“TIPU”（管状切开板尿道成形术）和两步 Belt-Fuqua 技术治疗近端阴茎下裂患者的成功率和并发症发生率。
1998 年至 2008 年期间，我们诊所对 65 例近端阴茎下裂患者进行了手术：31 例采用“TIPU”技术，34 例采用 Belt-Fuqua 技术。在“TIPU”组的 18 例患者中，通过背侧折叠和体部移植矫正了蹼状畸形，而在 Belt-Fuqua 组的所有患者中，在第一阶段完成了矫正。
“TIPU”组患者的平均年龄为 6.2 岁，Belt-Fuqua 组为 6.6 岁。平均随访时间分别为 9.2 个月和 7.9 个月。“TIPU”组的总并发症发生率为 22.6%，Belt-Fuqua 组为 11.8%。在两组中，均实现了位于龟头正常位置的自然垂直裂隙状龟头尿道口的美容外观。
对于近端阴茎下裂患者，两步 Belt-Fuqua 技术因其并发症发生率低且效果良好，被认为是一种良好的替代治疗方法。
