One-stage penile cutaneous island flap repair for hypospadias in circumcized patients.

Routine circumcision of infants, even those with congenital hypospadias, still takes place in some parts of the world. Hypospadias repair in such patients is difficult. We describe our recent experience with a one-stage transverse penile cutaneous island flap repair of congenital hypospadias in 16 circumcized patients. In all patients the graft took. There were only 2 cases of urethrocutaneous fistulae and these were easily closed with rotation flap. Functional and cosmetic results were judged as good in 81% and fair in the rest. There were no repair failures.