The use of scrotal septal neurovascular pedicle island skin flap in one-stage repair of hypospadias.

A scrotal septum neurovascular pedicle skin flap was successfully used in one-stage repair of hypospadias in 30 patients with encouraging results. The hairless median scrotal skin flap, with the scrotal septum attached, rich in neurovascular plexus and with the flap tip continuous with the external urethral orifice, is ideal material for creating a new penile urethra without interference to its blood supply. Operative technique and clinical analysis are detailed.