Pediatric Surgery International

, Volume 25, Issue 1, pp 53–55

Circumcised hypospadias

  • Rafael V. Pieretti
  • Alberto Pieretti
  • Rafael Pieretti-Vanmarcke
Original Article

DOI: 10.1007/s00383-008-2254-1

Cite this article as:
Pieretti, R.V., Pieretti, A. & Pieretti-Vanmarcke, R. Pediatr Surg Int (2009) 25: 53. doi:10.1007/s00383-008-2254-1



Patients with circumcised hypospadias have been of significant concern over many decades due to the belief that prior circumcision might negatively affect the results of hypospadias’ repair. We evaluated outcomes in consecutive males with anterior, distal penile, and the megameatus with intact prepuce variant of hypospadias (MIP).


After IRB approval a retrospective of 48 consecutive males with circumcised hypospadias was reviewed. In all cases the urethroplasty was accomplished with either urethral plate tubularization or a MAGPI procedure. No skin flaps were used.


A total of 48 patients with circumcised hypospadias (anterior, MIP variant, and distal penile) underwent operative reconstruction by one of us (RVP). All patients were followed for at least 8 months.


Prior circumcision did not negatively affect the results of subsequent urethroplasty in patients with anterior, distal penile, and the MIP variant of hypospadias. The use of the tubularized incised plate urethroplasty (TIP) has virtually eliminated the need for skin flaps in anterior hypospadias repair.



Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Rafael V. Pieretti
    • 1
  • Alberto Pieretti
    • 2
  • Rafael Pieretti-Vanmarcke
    • 3
  1. 1.Department of Pediatric Surgery, Section of UrologyMassachusetts General Hospital for ChildrenBostonUSA
  2. 2.Faculty of MedicineCentral University of VenezuelaCaracasVenezuela
  3. 3.Department of SurgeryMassachusetts General Hospital for ChildrenBostonUSA