Etiologic Considerations in Penoscrotal Hypospadias Repair

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Abstract
Superficial location of fibrous bands causing chordee in patients with penoscrotal hypospadias was demonstrated by microscopic and gross photographs. A technique to manage this problem is similar to that described by Allen and Spence and by King for distal hypospadias and was used in 120 patients. The technique involved repair of the embryologic penile defect by advancing the closure of the urethral groove and transposing the scrotum to its appropriate caudal position. The repair was applicable in patients with failure of fusion rather than failure of development of the urethral groove as in perineal hypospadias.