MIDPENILE HYPOSPADIAS WITH CHORDEE: SINGLE STAGE CORRECTION WITH LATERAL BASED FLAP

A 30 year old gentleman came with chordee and midpenile hypospadias. We did a lateral based flap technique after releasing chordee. We had to excise the urethral plate and do deep Y-shaped cut on the glans to accommodate the tubularized lateral plate.
Step by step demonstration of how we did the surgery:

Pre op

Chordee correction:

INCISING DEEPLY ACROSS THE URETHRAL PLATE AND THE FIBROTIC TISSE TO RELEASE THE CHORDEE

RAISING AND TUBULARISING THE LATERAL FLAP

COMPLETION OF TUBULARISATION: NEOURETHRA COMPLETED

PLACEMENT OF THE NEOURETHRA INTO A DEEP GROOVE CREATED BY Y SHAPED  INCISION ON THE GLANS

THIRD LAYER TUNICA VAGINALIS COVER AFTER DARTOS COVERAGE

FINAL PHOTOGRAPH

DIAGRAMMATIC REPRESENTATION OF THE LATERAL FLAP TECHNIQUE: ONLY DIFFERENCE WE FOLLOW IS PUTTING TUNICA VAGINALIS COVERAGE