Limited Urethral Mobilization Technique in Distal Hypospadias Repair with Satisfactory Results

Hypospadias is defined as an abortive development of the urethral spongiosum and ventral prepuce along with an arrest in the normal embryological correction of penile curvature (1). It is one of the most common congenital anomalies, which occurs in approximately 1 of 200 to 1 of 300 live births (1, 2). The majority of cases are distal hypospadias with an incidence of 75% (2). The main goals in hypospadias surgery are penile straightening, urethroplasty, meatoplasty and glanduloplasty, scrotoplasty, and skin coverage (1). The success of the operation is determined by excellent cosmetic appearance and normal voiding in a straight forward direction from the tip of the glans (1, 2). Various surgical techniques were developed to achieve these objectives (3). The fact that more than 300 different operations are described in the literature reflects the wide spectrum of the anomaly, and proves that the treatment has not been perfected (1, 3). Any technique to repair distal hypospadias should be simple, easy and applicable with good cosmetic and functional results. Herein, we report 47 patients with distal hypospadias who were operated on using the Limited Urethral Mobilization (LUM) technique. Materials and Methods