Congenital hypospadias (hypospadias) refers to congenital hypospadias such that the urethra opens at the lower end of the normal position (central tip of the glans), anywhere on the ventral side of the penis, and is mostly associated with hypospadias. (a) The clinical manifestations are mainly in the following three aspects: 1. ectopic urethral opening, the urethral opening can appear anywhere from the proximal end of the normal urethra to the perineum. 2. short development of the penis, mostly combined with ventral curvature of the penis. The abnormal distribution of the foreskin, the redundancy of the foreskin on the dorsal side of the head of the penis in a cap-like accumulation, the failure of the ventral foreskin to fuse in the midline and a V-shaped defect, and the absence of the foreskin tether. Other conditions include penile torsion, incomplete scrotal fusion, penile scrotal transposition, abnormal testicular descent or cryptorchidism, inguinal hernia, etc. (II) Diagnosis and differential diagnosis (III) Typing [Treatment] (I) Timing of treatment Surgical goals: complete correction of penile recurvature, the head of the penis is often shown as a bulbous penis head, which should also be restored to its normal conical shape; the urethral opening is located at the tip of the penis head, and its size is appropriate; the penis has a satisfactory shape, close to normal, can stand to urinate, and can have a normal sexual life in adulthood. A detailed explanation of the possible complications and surgical risks should be given to the child’s family before surgery, so that the child’s family understands and supports the surgical treatment. (C) Correction of penile hypospadias Penile hypospadias can usually be corrected by penile skin decortication and excision of ventral scar tissue of the penis, and the hypospadias in most patients is not causally related to the urethral plate and its connective tissue. If the hypospadias remains after penile skin release, it is mostly caused by abnormal development of the penile corpus cavernosum, and the hypospadias is mostly corrected by dorsal folding of the penile corpus cavernosum. (iv) One-stage surgery Currently, the repair of hypospadias is mostly advocated to be completed in one stage. Since the conditions of patients with hypospadias are different, and the skills, experience and usual surgical style of the operators are also different, the choice of the one-stage surgery cannot be forced to be consistent. It is recommended to choose a different procedure according to the type of hypospadias, and generally the procedure should be chosen according to the presence or absence of hypospadias, the shape and position of the urethral opening, the degree of integrity of the urethral plate, the amount of foreskin and penile skin, the size of the penis and scrotum, and the experience of the surgeon.