Vol. 3 No. 2 (2025): April-June
21-30
2025-08-06
Open Access

Author’s Modification of Tip-M in Distal Forms of Hypospadias in Children: Scientific Justification and Technical Description of the Innovative Method

Dostonjon S.Nurmamotov
Furkat A.Otamuradov

Received: 2025-08-06

Published: 2025-08-06

PDF (Russian)

Abstract

Aim. To develop and validate TIP-M modification for distal hypospadias repair.


Materials and methods. Prospective cohort study of 56 patients (mean age 6.4±3.8 years) with distal hypospadias treated using TIP-M technique. The modification involves limiting urethral plate incision depth to 2mm with defect replacement using vascularized flap from inner prepuce.


Results. Early complications occurred in 26.8% patients, late complications in 7.1%. Excellent overall results achieved in 73.2% cases. Normal voiding restored in 100% patients with excellent cosmetic outcomes in 94.6%. Reoperation rate was 5.4%. Mean urethral plate width increase was 35.2±8.7%.


Conclusion. TIP-M modification demonstrates superior outcomes compared to classical techniques, providing universal applicability regardless of anatomical conditions. The technique can be recommended as first-choice method for distal hypospadias repair.

Keywords

List of references

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About the Authors

Dostonjon S.Nurmamotov
dostonnurmamatov2@gmail.com
Kashkadarya Regional Children’s Multidisciplinary Medical Center
https://orcid.org/0009-0004-1484-528X (unauthenticated)
Furkat A.Otamuradov
info@ttatf.uz
Termez branch of Tashkent State Medical University
https://orcid.org/0000-0003-4273-6027 (unauthenticated)

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How to Cite

Author’s Modification of Tip-M in Distal Forms of Hypospadias in Children: Scientific Justification and Technical Description of the Innovative Method. (2025). Herald of the National Children’s Medical Center, 3(2), 21-30. https://hnchmc.uz/jour/article/view/219

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