Single-stage hypospadias repair using the operating microscope

Because of the continuing trend toward earlier repair of hypospadias, improved visualization of tissues is important. We have reviewed 33 consecutive hypospadias repairs performed using the operating microscope. Complications included three strictures (9.1%) and five fistulae (15.1%). The microscope proved most useful in resident teaching, allowing both surgeon and assistant to visualize optimally the tissues.