The Subcoronal Meatus

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Abstract
There has been much enthusiasm for repair or subcoronal hypospadias, which is due to the positive experience with meatal advancement, glanuloplasty and its excellent cosmetic results, extremely low complication rate and brief hospitalization requirement. Although the meatal advancement, glanuloplasty is an extremely reliable procedure in the majority of boys with subcoronal hypospadias and no fibrous chordee, 3 variants, patulous, fibrotic and hypoplastic, of the subcoronal meatus, have been encountered which are not amenable to meatal advancement, glanuloplasty. A logical approach to the assessment of the subcoronal meatus with use of a vascularized meatal-based flap for hypospadias repair when meatal advancement, glanuloplasty is not applicable is described.

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