Stage 1 of 2-stage hypospadias repair

The first stage includes correction of penile curvature and transfer of dorsal foreskin to the ventral aspect of the penis.

(A) Scrotal hypospadias with penile curvature.

(B) Initial dissection removing ventral tethering urethral plate tissue.

(C) Penile straightening with dorsal plication.

(D) Confirmation of a straight penis with artificial saline erection.

(E) In select cases, part of urethral plate can be preserved.

(F) The dorsal skin is split and wrapped to the ventrum.