Simple procedure to repair distal penile hypospadias without chordee in adult males.

Penile, glanular and preputial flaps repair was done in 7 adult male patients with distal penile hypospadias without chordee. They suffered from psychological problems because of the abnormal shape of their penis. The procedure consisted in a simplified perimeatal-based flap technique with special attention given to the incision and suturing of the flaps. The operation resulted into a normally looking penis through the creation of a wide neourethra starting with a meatus at the apex of the glans and covered by a pliable elastic hair-less skin. This procedure is rapid, simple and needs a short hospitalization period without urinary diversion. It proved satisfactory for adults with distal penile hypospadias without chordee, resulting in a long penis, flat glans with pliable skin and well developed dorsal hooded foreskin. The procedure should be performed when the meatus is at a distance not suitable for meatoplasty and glanuloplasty or other techniques. It is recommended to correct the shape of the penis of any hypospadiac during childhood to prevent psychosexual neuroses in adulthood.