Meatal advancement with glanuloplasty is indicated in cases of distal hypospadias. The principles of this operation are safe. Incorporation of urethroplasty with meatal advancement and glanuloplasty enables treatment of the more severe cases of distal hypospadias. We have used this modified operative technique in 10 boys with only 1 complication, which probably was related to the wrong choice of urinary diversion.
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