[Surgery of hypospadias (author's transl)].

The formation of an opening on the lower side of the masculine urethra is a developmental malformation. It is never combined with incontinence of the bladder. Difficulties with micturition and erection are due to a usually stenotically misdirected external orifice of the urethra, with a shortened urethra and nonelastic chorda, a remnant of the undeveloped corpus spongiosum urethra. For surgical correction (construction of a sufficiently long urethra and adequate skin extensibility) several operations are necessary, which are discussed. The most frequent complications are fistulas and problems in the wound-healing process (in approximately 30 percent of cases).