Distally based turn over flap and preputium plasty for distal hypospadias repair. Preliminary report

A surgical procedure for hypospadias correction using a proximally based turnover flap, glanuloplasty, and preputium plasty is described. The flap is vertically disposed and distally based on the external urethral meatus, and the shape is spatulated. It is dissected from proximal to distal, turned over, and sutured to the glans to reconstruct the missing portion of urethra. A glanuloplasty is performed and the preputium is restored by careful reconstruction of its inner and outer surface. The technique is useful in distal penile and glanular hypospadias without chordee or meatal stenosis. Very good functional and aesthetic results, and no complications, were obtained with this technique. Preliminary results and a 3-year follow-up are presented and discussed in this report.