Correction of penoscrotal transposition: buttonhole technique

Transposition of the penis was performed in 13 patients, in that 11 patients were repaired hypospadias first. A suprapubic buttonhole is created in an anatomically correct of location for the penis. The shaft skin is mobilized. The penis is then passed through a tunnel of subcutaneous tissue, delivered into this buttonhole. All 13 patients have had an excellent cosmetic outcome. There have been no cases of vascular compromise to the shaft or scrotal skin. Because of simplicity and superior be used in all cases of penoscrotal transposition.