Preputial reconstruction with distal hypospadias repair

Mathieu repair of distal and midshaft hypospadias: risks and benefits of foreskin reconstruction versus circumcision

“…5 This is similar to the 5%-8% complication rate reported in patients undergoing distal hypospadias repair combined with circumcision. 6 The main benefit of foreskin reconstruction is the availability of foreskin as spare material when a secondary salvage procedure is needed, although the need for major secondary repair in distal hypospadias is negligible.…”

“…6 The main benefit of foreskin reconstruction is the availability of foreskin as spare material when a secondary salvage procedure is needed, although the need for major secondary repair in distal hypospadias is negligible. 5 Circumcision is traditionally performed for three main reasons: religious preference, prophylaxis against some sexually transmitted diseases, and medical considerations. 7 The most common medical indications are phimosis, penile lymphedema, recurrent paraphimosis, recurrent balanoposthitis, recurrent urinary tract infection, preputial tumors, and after penile degloving procedures to avoid preputial lymphedema.…”

Hypospadias Repair: An Overview of the Actual Techniques

“…[19][20][21] Some tried also to adapt those techniques to reconstruct an intact foreskin thereby always raising the complication rate. 22…”

Prepuce‐Sparing hypospadias repair with tubularized incised plate urethroplasty

“…Most of the textbooks on pediatric urology illustrate the methods that incorporate circumcision as a part of the procedure, because in North America the majority of male infants are still circumcised. However, in many European countries, especially in Scandinavia and England except for Islamic and Jewish communities, an uncircumcised penis is considered normal, 2 and downward trends of circumcision among small boys are conspicuous 3 . In the daily practice in our country, most parents wish their sons to retain their foreskin during hypospadias repair, because they are afraid of being teased for the adult‐shaped penis in kindergarten and elementary school.…”

“…Modification in surgical methods has been, to some extent, influenced by social considerations which vary between countries and traditions. In many European countries, especially in Scandinavia and England, the uncircumcised penis is considered normal, 2 and downward trends of circumcision among small boys are conspicuous 3 . In the daily practice in our country, most parents wish their sons to retain their foreskin during hypospadias repair.…”