Modification of flip-flap technique for correction of distal penile hypospadias

Flip-flap is a popular technique used for correction of distal penile hypospadias. When the flap length is more than 2 cm, meatal stenosis may develop postoperatively. This stenosis is probably due to the ischemia at the tip of the flap. We have used flaps with wide base to ensure good blood supply to avoid this complication. The results were excellent in all of the cases in which this modification was used.