Hypospadias is a common congenital disease in pediatric urology, with an incidence of1150 ~ 250. Surgery is the only way to treat hypospadias.

At present, there are more than 300 surgical methods for hypospadias, but none of them is suitable for all patients, and the success rate of surgery is uneven. Successful hypospadias surgery should be that the penis is straight, the glans of urethra is open and cracked, urination is smooth without urethral diverticulum and urinary fistula, the penis looks like circumcision, and adults can have normal sex. Strictly speaking, this kind of surgery not only solves the functional defects of patients, but also carries out cosmetic surgery, which has strict requirements for operators. Choosing appropriate surgical methods, rich clinical experience and sophisticated surgical skills are the keys to successful operation.

Generally speaking, the age of children from 6 months to 18 months is the key period of sexual psychological maturity. Only when the operation is completed in the critical period of sexual psychological maturity, and the patient can stand up and urinate like his peers, can the psychological shadow of the patient be alleviated. Therefore, the operation time of hypospadias is constantly advancing, and we generally emphasize that it is appropriate to complete the operation before 18 months.

In recent years, pediatric urology has made great progress in the whole country, especially in the surgical methods of hypospadias, and advanced surgical methods at home and abroad have been introduced, such as urethroplasty with urethral plate and urethroplasty with inner prepuce. The success rate and postoperative appearance of one operation were obviously improved, and the postoperative complications were greatly reduced.

At present, experts at home and abroad believe that hypospadias with severe penile curvature should be operated by stages to reduce the occurrence of penile curvature in adults, and active surgical treatment is necessary. All patients with hypospadias should pay attention to long-term follow-up. Only when the penis develops normally in adolescence can it be truly cured.