Background: 

Despite the continued refinement of numerous hypospadias repair techniques, there is no completely satisfactory technique in terms of complications and cosmesis. Through our experience in hypospadias surgery, we developed a new simple technique named “anchored urethral glanular advancement (AUGA)” and the current study is trying to evaluate this technique in the treatment of more proximal degrees of anterior hypospadias than the reported before with selective criteria and modified technique steps to reach more proximal degrees.

Materials and Methods: 

This is a prospective case series study on 43 patients with hypospadias from April 2019 to December 2021. Cases with glanular, coronal, subcoronal and distal penile hypospadias and revision cases with the same postoperative meatus positions were included.

Results: 

Hypospadias objective scoring evaluation score was between 11 and 16 with a mean of 14.56 ± 1.29. The majority of patients (83.7%) had reported no complications.

Conclusion: 

The AUGA technique is a simple rapid single-stage technique for distal forms of hypospadias.