Penile disassembly technique: a new approach in hypospadias repair.

We report our experiences with penile disassembly technique in the treatmen t of severe hypospodias. During a period from November 1995 to December 1997 the technique was appli ed to 102 patients, aged from 9 months to 32 years. The principle of the te chnique involves separation of the penis into its component parts : glans c ap with neurovascular bundle (dorsally) together with nondivided or devided urethra and urethral plate (ventrally), and corpora cavernosa. After corre ction of the curvature and different techniques of urethroplasty the penile entities are joined into normal anatomical relationships. Our goal was als o to achieve some degree of penile enlargement in small hypospadiac penises . The patients were followed from 4 to 29 months (mean 19.2 months). Straight ening of the penis was achieved in all cases without recurrence of curvatur e. Complications were related to urethroplasty : 3 urethral stenoses, 2 fis tulas and 2 diverticulum. Penile disassembly technique is very effective for most severe hypospadias. Possibility of penile augmentation is real with this technique.