Current hypospadias techniques
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Updated: Sep 25, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
1Director, Division of Pediatric Urology, Children's Hospital of Philadelphia, Professor of Urology, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania.
Abstract:
Our experience with hypospadias surgery has changed over the recent five-year period. We are using less preputial tubularized island flaps for urethral replacement and more onlay island flap procedures. Approximately, 20% of hypospadias occurs from the penoscrotal junction to the perineum, while 30% occur in the mid portion of the penis. Fifty percent are distal penile or subcoronal (Figure1). There are different operative procedures to repair these varying types of hypospadias.
