Hypospadias repair: Byar's two stage operation revisited A.R. Arshad  British Journal of Plastic Surgery  Volume 58, Issue 4, Pages 481-486 (June 2005) DOI: 10.1016/j.bjps.2004.12.026 Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 1 Dorsal midline slit made on the prepuce and this is combined with a circumferential incision around the corona to mobilise the ‘Byars’ flap. Two parallel incisions are also made on the ventrum of glans, on each side of the urethral plate and carried to tip of glans. British Journal of Plastic Surgery 2005 58, 481-486DOI: (10.1016/j.bjps.2004.12.026) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 2 Preputial skin flap ‘Byars flap’ sutured to cover raw area created on retraction of the ‘glans wing’ and on areas created after release of chordee. British Journal of Plastic Surgery 2005 58, 481-486DOI: (10.1016/j.bjps.2004.12.026) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 3 After creation of neourethra, waterproofing layer from surrounding adventitial tissue is sutured over it. Note that this suture line is lateral to the midline suture line of the neourethra. British Journal of Plastic Surgery 2005 58, 481-486DOI: (10.1016/j.bjps.2004.12.026) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 4 Skin closure was done with interrupted 7–0 polyglactin sutures. British Journal of Plastic Surgery 2005 58, 481-486DOI: (10.1016/j.bjps.2004.12.026) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions