ABSTRACT
With a better understanding of the penile vasculature, many one-stage techniques were proposed for mid-shaft and posterior hypospadias repair including the Duckett's technique with the transverse preputial island flap [TPIF]. We performed the Duckett's technique on 25 patients with penile hypospadias with the following no cases of meatal stenosis and three cases of urethrocutaneous fistula [12%]. The three cases of urethrocutaneous fistula were reported in the first 15 patients where the neo-urethra was closed in one layer but no case of fistula was reported in the last 10 patients where the neo-urethra was closed in two layers: the difference is significative [P< 0.05]. in conclusion, the duckett's technique with the two-layer closure technique of the neo-urethra is a good alternative for penile hypospadias repair