Inlay Grafts in Distal Hypospadias Repair—How and When?
<h3 dir="ltr">Background</h3><p dir="ltr">Tubularized incised plate (TIP) urethroplasty is widely used for distal hypospadias but may be suboptimal in patients with narrow or scarred urethral plates. Grafted TIP (GTIP), incorporating a dorsal inlay graft, is an...
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| المؤلف الرئيسي: | |
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| مؤلفون آخرون: | , |
| منشور في: |
2025
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إضافة وسم
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| _version_ | 1864513525554085888 |
|---|---|
| author | Putu Angga Risky Raharja (10757540) |
| author2 | Abdulnaser Alsaid (22928641) Tariq Abbas (368053) |
| author2_role | author author |
| author_facet | Putu Angga Risky Raharja (10757540) Abdulnaser Alsaid (22928641) Tariq Abbas (368053) |
| author_role | author |
| dc.creator.none.fl_str_mv | Putu Angga Risky Raharja (10757540) Abdulnaser Alsaid (22928641) Tariq Abbas (368053) |
| dc.date.none.fl_str_mv | 2025-08-01T00:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1007/s40746-025-00338-4 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Inlay_Grafts_in_Distal_Hypospadias_Repair_How_and_When_/30971458 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Paediatrics Hypospadias Grafted TIP Dorsal inlay graft Urethral plate POST score |
| dc.title.none.fl_str_mv | Inlay Grafts in Distal Hypospadias Repair—How and When? |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3 dir="ltr">Background</h3><p dir="ltr">Tubularized incised plate (TIP) urethroplasty is widely used for distal hypospadias but may be suboptimal in patients with narrow or scarred urethral plates. Grafted TIP (GTIP), incorporating a dorsal inlay graft, is an emerging alternative to improve outcomes in such cases.</p><h3 dir="ltr">Objective</h3><p dir="ltr">To describe the indications, techniques, outcomes, and evolving perspectives on inlay graft use in distal hypospadias repair.</p><h3 dir="ltr">Methods</h3><p dir="ltr">A narrative review was conducted using published studies, prospective trials, and network meta-analyses comparing TIP and GTIP outcomes, with attention to complication rates, functional results, and decision-making tools.</p><h3 dir="ltr">Results</h3><p dir="ltr">GTIP offers superior healing and reduced complications in patients with unfavorable urethral plates. While operative time is longer, uroflowmetry and cosmetic outcomes are comparable. Technical success relies on graft type, accurate incision, and tension-free multilayer closure.</p><h3 dir="ltr">Conclusion</h3><p dir="ltr">GTIP represents a valuable adaptation of TIP for selected patients with distal hypospadias. GTIP should be considered when urethral plate characteristics predict poor healing. Further prospective studies are warranted to validate its long-term outcomes.</p><h2 dir="ltr">Other Information</h2><p dir="ltr">Published in: Current Treatment Options in Pediatrics<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s40746-025-00338-4" target="_blank">https://dx.doi.org/10.1007/s40746-025-00338-4</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_ee2eb34851cdd788c6a6afdb907a0a52 |
| identifier_str_mv | 10.1007/s40746-025-00338-4 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/30971458 |
| publishDate | 2025 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Inlay Grafts in Distal Hypospadias Repair—How and When?Putu Angga Risky Raharja (10757540)Abdulnaser Alsaid (22928641)Tariq Abbas (368053)Biomedical and clinical sciencesClinical sciencesPaediatricsHypospadiasGrafted TIPDorsal inlay graftUrethral platePOST score<h3 dir="ltr">Background</h3><p dir="ltr">Tubularized incised plate (TIP) urethroplasty is widely used for distal hypospadias but may be suboptimal in patients with narrow or scarred urethral plates. Grafted TIP (GTIP), incorporating a dorsal inlay graft, is an emerging alternative to improve outcomes in such cases.</p><h3 dir="ltr">Objective</h3><p dir="ltr">To describe the indications, techniques, outcomes, and evolving perspectives on inlay graft use in distal hypospadias repair.</p><h3 dir="ltr">Methods</h3><p dir="ltr">A narrative review was conducted using published studies, prospective trials, and network meta-analyses comparing TIP and GTIP outcomes, with attention to complication rates, functional results, and decision-making tools.</p><h3 dir="ltr">Results</h3><p dir="ltr">GTIP offers superior healing and reduced complications in patients with unfavorable urethral plates. While operative time is longer, uroflowmetry and cosmetic outcomes are comparable. Technical success relies on graft type, accurate incision, and tension-free multilayer closure.</p><h3 dir="ltr">Conclusion</h3><p dir="ltr">GTIP represents a valuable adaptation of TIP for selected patients with distal hypospadias. GTIP should be considered when urethral plate characteristics predict poor healing. Further prospective studies are warranted to validate its long-term outcomes.</p><h2 dir="ltr">Other Information</h2><p dir="ltr">Published in: Current Treatment Options in Pediatrics<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s40746-025-00338-4" target="_blank">https://dx.doi.org/10.1007/s40746-025-00338-4</a></p>2025-08-01T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s40746-025-00338-4https://figshare.com/articles/journal_contribution/Inlay_Grafts_in_Distal_Hypospadias_Repair_How_and_When_/30971458CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/309714582025-08-01T00:00:00Z |
| spellingShingle | Inlay Grafts in Distal Hypospadias Repair—How and When? Putu Angga Risky Raharja (10757540) Biomedical and clinical sciences Clinical sciences Paediatrics Hypospadias Grafted TIP Dorsal inlay graft Urethral plate POST score |
| status_str | publishedVersion |
| title | Inlay Grafts in Distal Hypospadias Repair—How and When? |
| title_full | Inlay Grafts in Distal Hypospadias Repair—How and When? |
| title_fullStr | Inlay Grafts in Distal Hypospadias Repair—How and When? |
| title_full_unstemmed | Inlay Grafts in Distal Hypospadias Repair—How and When? |
| title_short | Inlay Grafts in Distal Hypospadias Repair—How and When? |
| title_sort | Inlay Grafts in Distal Hypospadias Repair—How and When? |
| topic | Biomedical and clinical sciences Clinical sciences Paediatrics Hypospadias Grafted TIP Dorsal inlay graft Urethral plate POST score |