Modification of the King-Hoffman urethroplasty for one-stage repair of distal shaft penile hypospadias

A new method of one-stage surgical correction of distal to penoscrotal hypospadias is described. The chordee is released by skin lysis alone and urethroplasty is done by the flip-flap technique while the globular glans is rerolled over the new urethra, all in one stage. The complication rate was minimal (15 per cent), and acceptable in the 40 patients who underwent this modified one-stage King-Hoffman urethroplasty.