“…At the same time, a testicular sheath or scrotum to cover the new urethra tube can signi cantly reduce the incidence of postoperative complications compared with Koyanagi [18] . However, with the widespread application of this operation, the incidence of postoperative complications is still as high as 50%-60%, mainly urinary stula and urethral diverticulum [19,20] . Although proximal hypospadias can be repaired in one stage, due to the severe VC, long urethral defect, penile dysplasia, poor development, lack of local repair materials, and severe penoscrotal translocation of proximal hypospadias, it is di cult to reduce the incidence of complications and achieve satisfactory cosmetic results.…”