A comparison of the Mustardé and Horton-Devine flip-flap techniques of hypospadias repair.

We compared the results and complications of the Horton-Devine flip-flap and Mustardé techniques for 1-stage repair of distal hypospadias. Followup has been for at least 1 year so that long-term complications could be included. Urethral fistulas occurred in 6 of 20 patients treated with the Horton-Devine flip-flap and 3 of 20 who underwent the Mustardé repair. No strictures were noted with either procedure. In our opinion the meatus had a better configuration after the Mustardé repair. We conclude that the Mustardé procedure provides a more satisfying cosmetic and clinical result.