IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-4-18858 Original Research Paper Outcome of Tunica Vaginalis Flap as Second Layer Cover after Tubularised Incised Plate Technique for Hypospadias Repair Sandeep Maheswara Reddy Kallam Dr. April 2019 8 4 01 02 ABSTRACT

Introduction: Hypospadias is a common congenital defect due to incomplete development of the urethra with a prevalence of 1:250 to 1:300 live births. . In 1994, Snodgrass described Tubularized incised plate (TIP) urethroplasty for hypospadias repair. The aim of surgery for hypospadias is to reconstruct the penis that will be functionally and cosmetically as close to normal as possible. In this study we are evaluating the outcomes of the Tubularized incised plate method described by Snodgrass and to assess the advantages of covering the neourethra with a second layer cover using Tunica Vaginalis Flap especially in relation on preventing the fistula formation and other complications. Aims and objectives: Aim of this study was to evaluate the role of tunica vaginalis flap as a second layer in hypospadias repair Methods: This was a prospective observational study conducted at government general hospital, Guntur over a period of 2 years. A total of 34 patients were included in our study and all patients underwent TIPS procedure with tunica vaginalis flap as second layer cover. All patients were followed up till 6 months after surgery and observed for complications. Results: Overall complication rate was 14% with fistula contributing to around 8.8% over a study period of 6 months with Tunica Vaginalis flap as second layer cover after Tubularized incised plate technique. Conclusion: Results from this study indicate the excellent clinical outcomes with TIPS procedure in management of Hypospadias with acceptable complications rate.