Anterior Urethral Advancement in Repair of Hypospadias: A Modification of the Technique

Background/Purpose: Anterior Urethral advancement as one stage technique for hypospadias repair was first described by Ti – Shang Cheng in 1984. It was used for repair of distal and midpenile hypospadias. It was also used for treating secondary cases and urethral fistulae. Stricture, fistulae and ventral curvature were among the complications that faced surgeons on applying the original technique. Materials & Methods: In the period between March1997 and December 2008,140 patients with distal penile hypospadias or anterior urethral fistula were treated with anterior urethral advancement technique with certain modifications. Results: The usual complications of the technique (ventral curvature of the penis, urethral fistula and meatal stenosis) were avoided. Conclusion: This study represents certain modifications that helped to a great extent in improving the results and prevented stricture and fistula formation. Index Word: Hypospadias, fistula, urethral advancement