Hypospadias: simple, safe, and complete correction in two stages.

Hypospadias is a common abnormality treated by surgeons with different training and experience, using a wide variety of surgical methods. Ideally, reconstruction ought to be simple and safe with few complications, and the resulting penis should be satisfactory both functionally and cosmetically. These criteria are met by the following technique in which the first stage includes meatotomy, correction of the chordee, partial splitting of the glans penis, and covering the defect with a pedicle flap from the preputial hood. The second stage, performed six months later, is then easily carried out using available tissue to reconstruct the glans penis and the urethra. Urethrostomy or cystostomy is not necessary. More than 80 patients have undergone our two-stage operation, with very few complications. The procedure is suitable for all degrees of hypospadias and for congenital short urethra.