Repair of mild hypospadias

A one-stage repair of mild hypospadias is presented. A meatal-based vascularised flap is used to create the neourethra. The two halves of the glans are brought to the midline, thus covering the glanular urethra, and producing a normal appearing glans. Next, the prepuce is reconstructed by dividing its two lamina and approximating them in the midline. Urine is drained by means of an indwelling infant feeding tube, which is removed on the third postoperative day. In 70 operated patients - aged 12 months to 16 years - there were no fistulas or stenosis. In one patient the meatus required tailoring for deviated urinary stream. There were no major complications due to short-term urinary drainage. The method described may also be used in more proximal than glanular or subcoronal forms of hypospadias.