TUBULARIZED, INCISED PLATE URETHROPLASTY FOR DISTAL HYPOSPADIAS

A technique is described for correction of distal hypospadias with min imal chordee by tubularizing the urethral plate. The key step is deep longitudinal incision of the plate, which allows for tubularization wi thout the need for additional flaps. The resultant neourethra is funct ionally adequate and an excellent cosmetic result with a vertically or iented meatus is achieved. A total of 16 boys underwent the procedure with no case of meatal stenosis or fistula occurring during a median f ollowup of 22 months.