Late sequelae of hypospadias repair

Twenty-three cases are reported in which serious late sequelae of previously repaired hypospadias led to difficult technical problems in repair. Chordee, rotation and fistulae often complicated persistent strictures. To avoid the risk of fistula when operating upon previously scarred penile skin, a method of repairing or replacing the diseased anterior urethra is described, based upon the principles of the dartos pedicle island patch.