T flap hypospadias repair in circumcised patients

Single stage repair of distal penile hypospadias with chordee in circumcised patients is described. A ventral 'T' flap is used, the horizontal part of the T flap forming the complete circumference of the new urethra and lying in the defect created due to chordee release. The vertical part of the T flap, in conjunction with the grooved glans, forms the neourethra like the flip flap procedure. Of 22 patients repaired in this way, 2 (9.0%) developed fistula and one (4.5%) had meatal stenosis, thus in 86.5% successful repair was achieved.