Hypospadias is a congenital developmental penile anomaly characterized by a ventral ectopically sited meatus and a ventrally split foreskin, with or without ventral curvature. It occurs in about 1 in 125 live male births with both genetic and environmental aetiological factors. Hypospadias is corrected to allow micturition while standing, to achieve a natural appearance, and to allow normal sexual function. Operations to achieve this involve a combination of urethroplasty, glansplasty, and skin cover. Hypospadias repair should result in a straight, symmetrical penis with a natural slit-shaped terminal meatus. Normal function and appearance should be maintained with growth. It may be acceptable to complete the reconstruction by discarding the prepuce to give a circumcised appearance. However, in some cultures most boys are not circumcised and a prepuce reconstruction will be more appropriate.
