[The apical meatus in surgical treatment of hypospadias]

We present a surgical technique for the correction of hypospadias which has the major advantage of locating the new meatus at the apex of the glans. The prepuce is opened out and fashioned into a pediculated strip which is used to form the new penile and distal portion of the urethra. This pediculated strip is placed longitudinally along a deep cleft created by an incision along the glans. The five surgical stages are described together with the sutures and diversions employed. The results and complications obtained in 132 boys are then analysed.