Hypospadias Penile Skin Landmarks Technique for Preputial Reconstruction in Distal and Mid-penile Hypospadias Undergoing Tubularized Incised Plate Repair.

ABSTRACT:

Background

Hypospadias repair has traditionally involved tubularized incised plate urethroplasty, often necessitating circumcision or preputial sacrifice due to dartos flap usage for waterproofing. However, many parents prefer preputial preservation for cultural and aesthetic reasons. No standardized technique currently exists for preputial reconstruction in distal and mid-penile hypospadias. We describe the hypospadias penile skin landmarks (HPS landmarks) technique based on ventral raphe classification and dorsal skin landmarks, a refined surgical approach leveraging natural penile skin creases to facilitate effective preputial reconstruction while maintaining functional and cosmetic outcomes.

Methods

This prospective study, conducted at two centers in India (January 2021-

SUBMITTER: Miglani HS 

PROVIDER: S-EPMC12425405 | biostudies-literature | 2025 Sep-Oct

REPOSITORIES: biostudies-literature