Single-staged Repair for Penoscrotal Hypospadias with Tunica Vaginalis Flap

Abstract Surgery at an early age is recommended for one of the most prevalent congenital genital defects, hypospadias. It is gradually evolving, frequently by repurposing decades-old therapeutic approaches. Preputial onlay flaps were most frequently utilized in the 1980s, although there is currently a resurgence of interest in the tunica vaginalis flap. In a selected number of patients with severe anomalies, hypospadias is surgically repaired in one stage. The process includes creating a neourethra and correcting the curvature of the penile shaft. For optimal functional and cosmetic outcomes, this neourethra requires an intermediate layer to be covered. The tunica vaginalis flap is one of the better choices for usage as an intermediate layer among the several local flaps.