ONE-STAGE REPAIR OF SEVERE PENOSCROTAL HYPOSPADIAS

Abstract

Experience of one stage repair for severe penoscrotal hypospadias is presented. With the several innovative modifications such as (a) fibrous plaque contributing to chordee deformity distal to the meatus was excised by mobilizing the urethra from corpora without detaching it from the glans, (b) a neourethra to the tip of glans was formed by either ipsilateral double or criss-cross flipping of the “wing” like skin flap attached to the urethra, and (c) meticulous meato- and glanoplasty, the method is thought to be an original one to repair distal hypospadias with consistently successful outcome.