Dr. Snodgrass and Dr. Bush of PARC Hypospadias Center have performed foreskin reconstruction for penile birth defects for nearly 2 decades. In this study, they demonstrate that foreskin reconstruction does not increase the chances of having a complication after surgery. Most patients with distal hypospadias are successfully able to undergo foreskin reconstruction at the time of their hypospadias repair.
Some publications have shown a higher rate of complications when the foreskin was reconstructed. The complication rates with foreskin reconstruction are particularly high in studies where part of the foreskin is used in the hypospadias repair, a repair known as the Mathieu repair.
The TIP repair, also known as the Snodgrass repair, that we use for distal hypospadias repair does not use foreskin to create the urinary channel. This leaves all of the skin available for foreskin reconstruction and a natural appearance to the penis.
If you desire a natural appearance to your son’s foreskin, seek a surgeon who is familiar with foreskin reconstruction during hypospadias repair.