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Abstract Hypospadias (HS) is a common congenital anomaly that is present in 1/300 newborn children (0.3%). Treatment for hypospadias is surgical but no technique is recognized as the gold standard. This is reflected by the variability of results and the high frequency of complications. One of the principal complications of hypospadias surgical repair is the incidence of urethrocutaneous fistula (UCF) and flap dehiscence (FD), which present in 10–60% of cases. . (2) Several surgical alternatives have been described to prevent fistula formation. One of the most important factors in reducing the likelihood of fistula is the use of an intermediate layer of healthy tissue between the neourethra and the skin. Techniques for coverage described in the literature include deepithelialized foreskin flap, dartos flap, tunica vaginalis , and fibrin glue. |