We describe a new technique for complete repair of severe posterior hy
pospadias in one stage. The operative technique includes some innovati
ve points: penile straightening is realized by urethral mobilization t
o excise the chordee, and then urethroplasty according to Duplay proce
dure and glanduloplasty are performed. We report our results in 34 pat
ients. Preservation of urethral plate in hypospadias repair is a princ
iple with significant implications to an extended variety of hypospadi
as.