Pyramid urethral mobilisation hypospadias repair for distal variant: experience with 70 cases

The technique we propose combines elements from multiple procedures. The main rationale for this approach is to correct the defect using the child's native urethra and avoid a suture urethroplasty with its complications. Pyramid urethral mobilization can also successfully be applied in hypospadias redo cases if inclusion criteria are met. The main amendment in the procedure we performed is the longitudinal, median incision made in the avascular plane between the two corpus cavernosum. Conclusion. Urethral advancement by pyramid repair is a valid option for distal hypospadias and redo cases but precise case selection is mandatory when considering this procedure.