Use of the processes vaginalis: A new technique for reinforcing the neourethra in hypospadias associated with undescended testis

CONTEXT: The incidence of undescended testis (UDT) along with hypospadias varies from 6 to 31%. The simultaneous repair of UDT and hypospadias is rarely done. Herein, we present a novel technique to use processes vaginalis as a vascular cover for neourethra in a hypospadias patient with UDT. We have done urethroplasty and orchiopexy simultaneously. This is the first report concerning the use of processes vaginalis to reinforce the urethra. AIMS: Simultaneous repair of hypospadias and undescended testis. RESULTS: Both the patients withstood the procedure well. Postoperative period was uneventful. Patients passed urine in single stream without any fistula. CONCLUSIONS: In patients of undescended testis with hypospadias, simultaneous repair with the processes vaginalis flap is an ideal technique with good results. Processes vaginalis is good vascular cover for neourethra.