Ventral Curvature in Hypospadias: Straightening Before Urethroplasty

In proximal hypospadias, the defining decision often happens before urethroplasty begins: is the penis truly straight?This episode reframes ventral curvature as the axis of reconstruction. We discuss artificial erection testing, the 30-degree threshold, skin tethering, urethral plate hinging, corporal disproportion, dorsal plication, ventral lengthening, urethral plate transection, and why preserving the plate may sometimes preserve the deformity.The central idea: curvature correction is not preparation for hypospadias repair. It is the foundation of the repair.Keywords: hypospadias, ventral curvature, chordee, urethral plate transection, dorsal plication, ventral lengthening, proximal hypospadias.