Topography Guided Repair Versus TIP for Distal Hypospadias

This study compares two surgical techniques used to repair distal hypospadias in children: topography-guided repair (TGR), a newer approach, and tubularized incised plate (TIP) repair, a commonly used standard technique. Children with distal hypospadias were randomly assigned to receive one of the two procedures. Researchers assessed early surgical complications, need for additional surgery, and postoperative appearance and function during follow-up visits over 12 months. The study aims to determine whether TGR can be safely adopted by surgical teams other than its developer and to guide larger future studies.

Inclusion Criteria: * Children younger than 16 years with previously untreated distal penile hypospadias. * Uncircumcised patients. * Parent or caregiver able to provide written informed consent. Exclusion Criteria: * Previous hypospadias repair. * Previous circumcision. * Proximal hypospadias diagnosed before surgery. * Penile curvature of 30 degrees or greater.