What is done during hypospadias repair?

Create normal penis: We try to repair in single stage, unless very severe with urinary opening at the scrotum & 2 stage repair is performed. Penis is straightened & urinary opening is advanced to tip of glans if possible.Penile shaft skin is dissected down to base to straighten, graft maybe required for severe chordee, or dorsal plication.Urethra constructed from skin flaps or buccal graft. Stent or catheter for urine.

Urethra is extended: In a hypospdias repair, the urethral opening is extended from its uriginal location (usually along the undersurface of the shaft of the penis) to the tip of the head of the penis (the glans). The extension can be created a number of ways either from local skin, the foreskin, or with a graft from another location. The penis is the reconstructed to have a normal cosmetic appearance.