fig4

Figure 4. Patient with previously operated exstrophy epispadias complex. First stage repair. (A) Preoperative appearance. Excessive skin positioned ventrally. (B) Short superficial urethra positioned dorsally. (C) Partial penile disassembly. Both corpora cavernosa divided without detachment of the glans. Urethra transposed ventrally. (D) Final aspect. Meatus positioned ventrally at the penoscrotal angle forming hypospadias. Penile skin reconstruction using available penile skin flaps keeping the excessive skin ventrally for the second stage urethroplasty.