New surgical technique for balanitic hypospadias correction.

Most techniques for treatment of balanitic hypospadias cannot be considered entirely satisfactory because they are too complex, necessitate several repair procedures or involve complications such as fistulas, strictures and necrosis. Because of these circumstances and because of the possibility of poor results, most surgeons believe that correction of this condition is not necessary since micturition and the caliber of the meatus are usually normal. However, this is not our point of view. Although we agree that the disturbances produced by balanitic hypospadias do not affect the patient somatically, they obviously affect him mentally. A boy at school suddenly realizes that he does not urinate as the other children and this anomaly might produce a complex which will affect the boy's personality. The method we use to correct balanitic hypospadias is based upon the reconstruction of the urethra by means of rotating the skin flap taken from the penis.