Glans Size and Glans Closure: The Forgotten Determinant of Hypospadias Failure

Glans size is often treated as a cosmetic detail in hypospadias surgery. It is not.This episode reframes the glans as the distal roof, pressure seal, and tension test of the reconstruction. We discuss glans width, closure tension, distal caliber, tissue reserve, androgen stimulation, glans dehiscence, and why a forced glansplasty can turn a technically good urethroplasty into a failure.The central idea: the glans is not where the operation ends. It is where the repair proves whether it can heal.Keywords: hypospadias, glans size, glansplasty, glans dehiscence, testosterone, urethral plate, pediatric urology.