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Status unknownNCT02497963FGTIP-TIPUpdated Jul 15, 2015

Foreskin Graft Tubularized Incised Plate Urethroplasty vs Tubularized Incised Plate for Primary Hypospadias (FGTIP-TIP)

An interventional study of Foreskin Graft-Tubularized Incised Plate and Tubularized Incised Plate in Hypospadias, sponsored by Hospital Infantil de Mexico Federico Gomez. Status unknown. Open to male participants aged 3 Months to 18 Years. Per ClinicalTrials.gov, last updated 2015-07-15.

Sponsored by Hospital Infantil de Mexico Federico Gomez · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jul 2015), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
68
Allocation
Randomized
Ages
3 Months to 18 Years
Sex
Male
01

Study summary

The purpose of this study is to determine the efficacy and safety of tubularized incised plate urethroplasty versus foreskin graft tubularized incised plate urethroplasty in primary hypospadias. This study only included patients with width of urethral plate ≤ 7 mm, width of glans ≤ 14 mm, and urethral plate depth shallow o moderate.

Read the detailed description

Urethroplasty technique more used in the world for hypospadias repair is Tubularized Incised Plate described by Snodgrass in 1994. Kolon and Gonzales described a technical modification to the TIP in 2000, which is called grafting foreskin.

There are characteristics of the glans and urethral plate favoring the development of complications. In this study the researchers include patients with primary hypospadias, with these characteristics above, and compare two surgical techniques: TIP vs FG-TIP.

The main aim is to determine the efficacy (functional and cosmetic) and safety (complications) of TIP vs FG-TIP.

The study design is a randomized clinical trial, double blind (patient and evaluator), parallel groups.

The sample size was calculated comparing two proportions, with a alpha 0.05, beta 0.2; 34 patients per group. The main outcome is complications.

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Conditions studied

  • Hypospadias

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03

In context

Hypospadias

131 studies on the registry are indexed under Hypospadias; 34 are open to participants now.

This study's planned enrollment of 68 is close to the median of 68 across 102 interventional studies indexed under Hypospadias.

Browse Hypospadias studies →

Lead sponsor

Hospital Infantil de Mexico Federico Gomez is the lead sponsor of 19 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
3 Months to 18 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  • Patients diagnosed with hypospadias without previous surgery
  • Hypospadias with width of urethral plate ≤ 7 mm, width of glans ≤ 14 mm, and urethral plate depth shallow o moderate.

Exclusion criteria

Exclusion Criteria:

  • Patients diagnosed with hypospadias and severe psychomotor development delay
  • Patients with disorders of sexual development without gender assignment
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
68 participants (estimated)

Study arms

  • Experimental
    Foreskin Graft-Tubularized Incised Plate

    Group of patients with primary hypospadias undergoing Foreskin Graft Tubularized Incised Plate Urethroplasty. The surgery involves making an incision on the midline of the urethral plate, graft inner foreskin, and create a new urethra on a urethral catheter.

    Procedure: Foreskin Graft-Tubularized Incised Plate

  • Active comparator
    Tubularized Incised Plate

    Group of patients with primary hypospadias undergoing Tubularized Incised Plate Urethroplasty. The surgery involves making an incision on the midline of the urethral plate, and create a new urethra on a urethral catheter.

    Procedure: Tubularized Incised Plate

Interventions

  • ProcedureForeskin Graft-Tubularized Incised Plate

    TIP Urethroplasty with foreskin graft in primary hypospadias

  • ProcedureTubularized Incised Plate

    TIP Urethroplasty without foreskin graft in primary hypospadias

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What researchers measure

Primary outcomes

  1. Proportion of participants with complications as a measure of safety

    Time frame: Fourth month after surgery

Secondary outcomes

  1. Proportion of participants with fistula as a measure of safety

    Time frame: Fourth month after surgery

  2. Proportion of participants with stricture as a measure of safety

    Time frame: Fourth month after surgery

  3. Proportion of participants with breakdown as a measure of safety

    Time frame: Fourth month after surgery

Other outcomes

  1. Degree of Cosmetic by HOPE Score as a measure of efficacy

    Time frame: Fourth and sixth months after suregry

  2. Urinary mean flow by uroflowmeter as a measure of efficacy

    Time frame: Fourth and sixth months after surgery

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Snodgrass WT. Re: Effect of suturing technique and urethral plate characteristics on complication rate following hypospadias repair: a prospective randomized study O. Sarhan, M. Saad, T. Helmy and A. Hafez J Urol 2009; 182: 682-686. J Urol. 2010 Apr;183(4):1649-50; discussion 1650. doi: 10.1016/j.juro.2009.12.048. Epub 2010 Mar 4. No abstract available. PubMed 20206364 ↗
  • Snodgrass W. Tubularized, incised plate urethroplasty for distal hypospadias. J Urol. 1994 Feb;151(2):464-5. doi: 10.1016/s0022-5347(17)34991-1. PubMed 8283561 ↗
  • Kolon TF, Gonzales ET Jr. The dorsal inlay graft for hypospadias repair. J Urol. 2000 Jun;163(6):1941-3. PubMed 10799234 ↗
  • Holland AJ, Smith GH. Effect of the depth and width of the urethral plate on tubularized incised plate urethroplasty. J Urol. 2000 Aug;164(2):489-91. PubMed 10893631 ↗
  • Mouravas V, Filippopoulos A, Sfoungaris D. Urethral plate grafting improves the results of tubularized incised plate urethroplasty in primary hypospadias. J Pediatr Urol. 2014 Jun;10(3):463-8. doi: 10.1016/j.jpurol.2013.11.012. Epub 2013 Dec 10. PubMed 24360521 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 15, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02497963
Lead sponsor
Hospital Infantil de Mexico Federico Gomez
Responsible party
Byron Pacheco Mendoza (MD, MsC, Pediatric Urologist,, Hospital Infantil de Mexico Federico Gomez) — Principal investigator
First posted
Jul 15, 2015
Start date
Aug 2015
Primary completion
Jan 2017 (estimated)
Completion
Mar 2017 (estimated)
Last update
Jul 15, 2015

Study contacts

Byron A Pacheco Mendoza, MD MsC
Contact
byronpachecom@yahoo.com
+525544378709
Mario E Rendón Macías, MD MsC
study chair · CMNXXI, IMSS
Onofre Muñoz Hernández, MD MsC
study director · Hospital Infantil de Mexico Federico Gomez

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Jul 2015. You cannot join it, but the record below documents what was studied.

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