Distal Hypospadias: The Myth of the Simple Repair

Distal hypospadias is often treated as the easy end of the spectrum. That assumption is unsafe.This episode reframes distal hypospadias as a small-margin operation where failure may come from caliber, glans closure, tissue coverage, or meatal instability. We compare TIP, Mathieu, MAGPI, MEMO, and grafted TIP as different solutions to different anatomical problems.The central idea: distal hypospadias is not simple because the meatus is distal. It becomes simple only when anatomy permits a stable, low-tension reconstruction.Keywords: distal hypospadias, TIP repair, Snodgrass, Mathieu, MAGPI, MEMO, grafted TIP, pediatric urology.