Objective: To explore the treatment of hypospadias with hydrocele.

Methods: Nine patients with hypospadias complicated by hydrocele underwent urethroplasty with tunica vaginalis flap.

Results: Satisfactory results were achieved in 7 cases, all with a normal anatomic position of urethral meatus, perfect urination and no infection. Local infection and meatal stricture occurred in 1 case, which was restored to normal by urethral sounding. Scrotal urinary fistula developed in another.

Conclusion: With minimum surgical trauma, conveniently available material and fast tissue repair, urethroplasty with tunica vaginalis flap is a desirable method for the treatment of hypospadias with hydrocele.

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