[Buccal mucosa free graft for severe hypospadias repair]

We present a boy 6 years old, with a penoscrotal hypospadias and perineal urethrostomy, with several unsuccessful attempts at hypospadias repair in other hospital. Autologous buccal mucosa was used as a free graft for urethral reconstruction. The clinical result was excellent, with a functioning urethra of good caliber throughout the entire length of the penis, without voiding difficulties. A proximal fistula that closed spontaneously 20 days postoperatively was the only complication. We present this technique as an elective option for severe hypospadias repair.