Mobilization of the Urethra in the Surgical Treatment of Hypospadias

Abstract

Urethral mobilization is an adjunctive surgical technique for improving the position of the urethral meatus in a hypospadias operation. In patients with mild degrees of hypospadias and chordee the mobilized urethral meatus can be placed out onto the glans without constructing a neourethra. In more severe cases of hypospadias urethral advancement distally will reduce the length requirement for the neourethra. Mobilization of the urethra has been done in 21 children in conjunction with standard hypospadias repair techniques and the outcome has been highly successful for the majority.