Application of Horton-Devine principles to the repair of hypospadias

We describe the results and complications of the Horton and Devine techniques for repairing hypospadias in 140 children. The V-shaped glandar flap plasty was done in all patients, either as part of a 1-stage operation in some or as the final step in a staged procedure in others. The principles of Horton and Devine were found useful not only in primary repairs but also in achieving a satisfactory result in secondary and complicated cases. Urethrocutaneous fistula was the most common complication. With an average of 1.5 operations per patient the functional and cosmetic results have been excellent.