ABSTRACT
One of the great challenges in urological surgery is urethral reconstruction, making this surgery a technically demanding one. The aim of anterior urethral repair or reconstruction is to achieve not only a straight urinary stream, but also a cosmetically acceptable glans and meatus and a straight penis in erection for adequate sexual function. For obtaining this aim there is no one standard method which will be appropriate for all types of repair. Therefore, a variety of 200 different innovative reconstructive procedures have been developed to answer the challenge of difficult urethral strictures. These urethral repair techniques have been developed mainly for the hypospadic patient. For the practicing surgeon this requires knowledge of different techniques and tissue transfer methods, as well as creativity, to fit or modify the available techniques to the needs of the particular patient.
