The management of distal hypospadias with meatal-based, vascularized flaps

In 63 children distal hypospadias was repaired using a meatal-based, vascularized flap. An acceptable glandular meatus was achieved in 62 children. Complications requiring further operation occurred in 5 children (8 per cent) and all were repaired successfully with only 1 other procedure. The technique has proved successful and rewarding in managing these distal lesions.