Splitting the prepuce to provide two independently vascularised flaps: a one-stage repair of hypospadias and congenital short urethra.

The operative details of a one-stage procedure to repair hypospadias and congenital short urethra are presented. The prepuce is split from its distal margin to provide two independently vascularised flaps for the reconstruction of the penile urethra and its overlying skin. The results of the first 50 patients so treated are described. The use of a silicone rubber tile on which to stabilise the penis during operation and a self-adhering foam pad as a post-operative dressing are described.