Surgical Atlas: Primary Hypospadias Repair with Buccal Mucosa

The document described a surgical technique for primary hypospadias repair using buccal mucosa grafts, emphasizing its favorable properties like the absence of hair follicles and ease of handling. It covered patient selection, typically children with proximal hypospadias, and detailed the procedure, which can be done in one or two stages. Postoperative care included immobilizing the penis, using a suprapubic catheter, and administering antibiotics and pain control. The technique aimed to minimize complications such as fistula formation and meatal stenosis, with buccal mucosa preferred over hair-bearing skin to reduce morbidity. The document stressed meticulous surgical technique and patient selection to optimize outcomes and achieve cosmetically appealing results.