Tubularized Incised Plate Urethroplasty

Abstract

Midline incision into the urethral plate widens it sufficiently for urethroplasty and heals without stricture. These observations form the basis for the tubularized incised plate (TIP) hypospadias repair, first described in 1994 (Snodgrass 1994). Following that report, clinical experience from many institutions has shown that the technique is applicable to essentially all cases of distal hypospadias, without concern for the specific meatal configurations that determine the applicability of other procedures discussed in this textbook. Furthermore, TIP may be preferable to many alternative options since it is versatile, easily performed, has few complications, and always results in a vertically oriented meatus.