Modified vascularized pedicled scrotal flap for complex hypospadias.

Surgical correction of complex hypospadias defects is a problem. A 1-stage technique using a scrotal septum pedicled skin flap was used in 7 patients with inadequate preputial skin and scarred ventral penile skin unsuitable for satisfactory repair. The results were satisfactory in 5 patients. Distal urethral stricture developed in the remaining 2 patients and 1 of them had a subcoronal urethrocutaneous fistula. Minor hair growth was noted in 1 patient. The pedicled scrotal septum flap is recommended in selected cases of complex hypospadias, particularly when other methods fail.