Hypospadias is defined by the three major anatomic defects:
(1) the abnormal location of the urethral meatus,
(2) penile curvature, and
(3) abnormalities of the foreskin.
The objective in treating patients with hypospadias is to
reconstruct a straight penis for normal coitus and place
the new urethral meatus on the terminal aspect of the glans
to allow a forward directed stream.
There are five basic steps for a successful hypospadias outcome:
(1) orthoplasty (straightening),
(3) meatoplasty and glanuloplasty,
(4) scrotoplasty, and
(5) skin coverage.
These various elements of surgical technique can be applied either sequentially
or in various combinations to achieve a surgical success.