[Current treatment of hypospadias]

The aim of this work was to discuss general ideas concerning the factors which should be taken into account for the treatment of hypospadia including: anatomy, preoperative work-up, analysis of the anatomic type, patient status, search for an underlying more complex malformation. Precise indications for per and post-operative care should provide good results. Two major ideas predomination in these recommendations: operate early (at about 2 years) in a single procedure for both anatomic and psychological reasons. This latter point is particularly important. Operative technique is illustrated and described together with complications and their management.