One-stage repair of perineal hypospadias and scrotal transposition

Our experience with one-stage repair of severe perineal hypospadias and scrotal transposition is described. In essence the urethra is formed by our (extended parameatal) wing flap-flipping method, while the scrotum is normally repositioned with skin closure. Comparison is made with other repairs, while the safety of the extended parameatal pedicle flap is stressed.