Two-stitch technique for distal shaft hypospadias repair

Oscar Herman, Lior Heller, Arye Dorenbaum, Melvyn Westreich*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


The authors present a new technique for distal shaft hypospadias repair using a flip flap fashioned with only two stitches. In raising the flap, the tissues lateral and proximal to the flap are undermined but there is no undermining beneath the flap. The flap is sutured up to the glans with two 4-0 Vicryl sutures. No sutures are placed at the lateral edges of the flap to create the "tube" of the neo-urethra, and no postoperative urinary drainage is used. Thirty-three children with distal shaft hypospadias underwent the "two-stitch" flip flap operation. The complications were one fistula and one case of urinary retention. The technique is an easy method for reconstructing distal penile hypospadias with a very low rate of complications and is suitable for an outpatient surgical setting.

Original languageEnglish
Pages (from-to)209-212
Number of pages4
JournalAnnals of Plastic Surgery
Issue number2
StatePublished - 2002


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