One-stage repair of hypospadias with a bipaddled preputial island flap.

A one-stage repair of hypospadias with a bipaddled preputial island flap is described. Although the bilaminar island flap has been described before, the technique reported contains some variations. Sixteen cases are reported with good functional and aesthetic results. The complications were two stenoses (one with a simultaneous fistula) at the proximal anastomosis of the urethroplasty. All flaps survived and no meatal strictures were encountered with this technique.