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Abstract The commonest repairs to correct anterior (distal) hypospadias are the Tabularized Incised Plate (TIP) urethroplasty (10), Duplay (1874), Mathieu (1932), and Meatal Advancement and Glanuloplasty Incorporated (MAGPI) (11). TIP urethroplasty and Mathieu’s have been widely practiced. (12) Tabularized incised plate urethroplasty has been widely accepted during the last 2 decades for management of the distal hypospadias. (13) Unfortunately, repair even with proper surgical skills can be associated with numerous complications, including urethrocutaneous fistula, meatal stenosis, glanular dehiscence, stricture, and urethral diverticulum. The propensity for complicated repairs was significantly higher in patients with a flat and narrow urethral plate than in patients with a deeply grooved and wide urethral plate due to the greater degree of mobilization required.(14) The impact of the width of the urethral plate on the outcome remained a debatable issue, to date |