Abstract
A technique for the repair of severe hypospadias is described. The essential features include a chordee release and cosmetic repair of the previously tethered penis, the construction of a new urethra using bladder mucosa in a subcutaneous tunnel and an oblique anastomosis of the graft and true urethra as deep within the shaft of the penis as possible. One stricture has developed with this technique and meatal stenosis requiring dilation remains a minor problem. However, the over-all results of this technique appear to be good.

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