In recent years, the incidence of hypospadias has increased significantly due to improper dietary intake, the use of pesticides, environmental estrogenic chemicals (including synthetic medicinal estrogens, phytoestrogens, fungal estrogens, industrial chemicals such as PCBs and dioxin, which are widely used in medical and industrial and agricultural production), and the increase in the number of heavy cases, with a domestic incidence of about 1/300. Hypospadias is manifested by ectopic urethral orifice, inferior penile curvature, abnormal distribution of foreskin, especially perineal type shaped like female vulva, and sometimes mistakenly raised as a girl. Since squat urination and vulvar deformity seriously affect the physical and psychological development of children, only early surgery can achieve a comprehensive treatment effect. The surgery of hypospadias has become a difficult problem in the medical field because of the complexity of the surgery and postoperative complications. The Department of Urology at Wuhan Union Hospital has developed a set of improved surgical methods in its long-term clinical practice of hypospadias. The vast majority of hypospadias are corrected and urethroplasty is completed in one stage, and the age of patients has been advanced to about 1 year old, which has the advantages of high postoperative success rate (90%), short hospitalization time and reduced economic burden of patients, and is accepted by the majority of patients and their families. It not only restores the normal physiological function of patients in the near future, but also pursues the perfection of morphology, and tends to be more normal in the long term. The modified surgery is based on the new “urethral plate” theory, which is based on the longitudinal urethroplasty of the urethral plate and the transverse urethroplasty of the foreskin flap with tip. According to the different positions of the urethral opening after the correction of hypospadias, individualized surgical approaches are adopted. For the middle and distal hypospadias without obvious inferior curvature, longitudinal urethral plate coiling is used to ensure the new urethral blood supply; for the proximal hypospadias with obvious inferior curvature deformity and dorsal cap-like foreskin, bilateral tipped coiling or longitudinal tipped island flap urethroplasty is used to strengthen the new urethra with multi-layer sutures. Tissue healing ability. At the same time, the use of fine microsurgical techniques during surgery, the use of a new dressing with uniform pressure after surgery, and postoperative adjunctive medications to reduce pain and erection all provide favorable guarantees for improving the success rate of the first-stage surgery. Thanks to the correct surgical approach and careful postoperative management of patients, the new method has been applied to successfully treat more than 450 cases of various hypospadias with complications for the first time and after surgery in outside hospitals, and the vast majority of hypospadias have been operated in one stage with a complete success rate of more than 90% in one go, and patients do not need cystostomy, and patients treated basically achieve complete correction of penile curvature, orthodontic opening of the urethra, ability to Patients who undergo treatment basically achieve the goals of treatment such as complete correction of the curvature of the penis, orthodontic opening of the urethra, ability to urinate standing up, near-natural shape, and ability to have sex in adulthood. The modified technology treatment has opened up a new way for hypospadias, with a high success rate in the first stage of surgery and few postoperative complications, and many patients come to us.