[Current trends in the management of primary hypospadias: indication for surgery and surgical goal].

The therapeutic goal of surgical correction of hypospadias is the reconstruction of the primary malformation into a normal penis. Nowadays the operation is timed around the first birthday of the infant. The procedure is performed in different operative steps depending on the individual components to hypospadias. The current trend is to preserve and tubularize the urethral plate and to stage the procedure in proximal hypospadias with severe chordee. The perioperative management includes modern paediatric anaesthesia methods in combination with regional anaesthesia, urinary drainage into a double diaper and to waive the fixation of the baby at the bed.