“…Artificial erection is necessary in order to evaluate the severity of this curvature. In most cases, dartos mobilization with preservation of the urethral plate is adequate [7], but in severe cases mobilization of the urethral meatus and Nesbit procedure or dorsal plication of the tunica albuginea is required [8]. In these cases the new location of the urethral meatus and the absence of the urethral plate could change the type of hypospadias, but one-stage repair is still possible by tubularizing the pedicled island flap [9, 10].…”