[Urethroplasty in severe hypospadias. Description and evaluation of a one-stage technic used in 54 cases].

From July 1980 to November 1982, 54 cases with severe hypospadias underwent one-stage urethroplasty at the urology departments of the Ain Shams University Hospital and Dar El-Shefa Hospital. Their age ranged between 9 months and 19 years. The original urethral meatus was located at mid penile in 40 occasions, peno-scrotal in 12 and perineal in only two cases. The technique used for urethroplasty was a combination of that of Duckett (transverse preputial island flap) for the creation of the urethral tube, and Devine's glandular flaps to bring the urethral meatus to the tip of the glans. The rate of complications was very low, only two cases developed fistula (3.7%). None of the cases developed kinks or strictures of the neo-urethral tube.