[Hypospadias : single stage repair (author's transl)].

One stage hypospadias repair -- 66 cases. The authors used Devine and Horton's technique with some modifications : 1. If the meatus is located forward of the mid penile, a rectangular flap based on the urethral meatus is reflected anteriorly and sutured with the glans flap (Devine and Horton) but when the glans flap does not meet the hypospadic meatus a part of the new urethra, between the tip of the glans flap and the meatus, has a strip of skin as a roof, while the rest of the circumference is raw and unclosed. This strip will form a complete canal by epithelialization. 54 cases : 3 fistulas required further operation. 7 fistulas healed spontaneously, 2 meatal stenosis were treated by a single dilatation. The cosmetic result was excellent in 45 cases, good in 13 cases (the meatus remaining a little short of the tip of the penis). 2. Therefore the authors used a full-thickness skin graft tube only for the more posterior cases in which the meatus was behind the mid part of the penis. 9 cases : 1 good result - 8 fistulas.