[Belt-Fuqua technique: a useful alternative in hypospadias repair (author's transl)]

This Belt-Fuqua method is of particular help when the entire foreskin lies on the ventral surface of the penis. Such a situation results from an exaggerated buttonhole technique at the time the chordee is corrected as the initial procedure either by chance or intentionally. A portion of the transposed foreskin is used to fashion a tube of appropriate length and diameter to reach the end of the penis. This new urethra is then drawn through a tunnel on the ventrum of the penis. This operation has several advantages over the available alternative procedures: 1. The Belt-Fuqua technique uses the entire foreskin on the ventral surface of the penis for the extension of the uretha. 2. The abundance of foreskin allows easily to fashion a complete tube of appropriate length and diameter. 3. The new urethra is completely covered by intact subcutaneous tissue and the remainder of the foreskin and is crossed by no sutureline. 4. The procedure is relatively simple to perform, is less likely to result in fistula formation than the alternative procedure used and has not been accompanied by the complications of stricture or meatal stenosis in our hands.