Surgical experience in two-stage hypospadias repair.

Hypospadias can be categorized as glandular, penile, scrotal or perineal hypospadias. Diversified surgical procedures have been devised for the reparation of this congenital anomaly. The surgical method consists of 3 chief parts: avoidance of fistula formation, resection of the chordee and construction of the distal urethra. Infrequently a fistula following operation in this disease can be cured by urethral drainage, but in the majority of cases surgical repair is indispensable. Subsequently operative or postoperative complications must be decreased. The technical performance and accompanying problems for these points in the management of hypospadias are described.