Primary hypospadias repair with single stage techniques.

Our experience with primary hypospadias repair by single stage technique is reviewed. The transverse preputial island flap is most versatile and can be used for hypospadias varying in severity from the subcoronal to the perineal types. In this study, this technique carried a fistula rate of 14%. Glanular and coronal hypospadias were corrected by the technique of meatal advancement and glanuloplasty (MAGPI) which had a zero fistula rate. An overall fistula rate of 7.5% is considered acceptable. Single stage repair should be considered standard practice in the management of hypospadias repair. A brief description is given of the procedure of transverse preputial island flap repair.