الفهرس 
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Abstract
Hypospadias is one of the commonest congenital anomalies of the male genital system. Hypospadias associated with functional .and psychological problems for patients and their parents
Many techniques have been described for repairing hypospadias, but none was considered the standard method.
The surgical goals of hypospadias repair are full straightening of the penis, formation of a hairless urethra of uniform caliber and adequate size, positioning of the meatus at the tip of the glans and normal penile appearance with minimum complications
In 1994, Snodgrass described tubularized incised plate (TIP) urethroplasty for distal penile hypospadias repair. It was subsequently also applied to proximal hypospadias, with encouraging results
The longitudinal split of the urethral plate described by Snodgrass represents significant progress in urethral plate-preserving surgery, permitting tension-free tubularization of the urethral plate to form a neourethra of adequate size. The technique is now widely accepted.
The principal steps are a deep longitudinal incision of the urethral plate to allow tubularization, and addition of a layer between the neourethra and the overlying skin to avoid urethrocutaneous fistula
Modified glanuloplasty is a modified technique for glanuloplasty in cases repaired with TIP. Large number of cases is need for evaluation of the technique. It may carry the advantages of less blood loss, no tourniquet and minimization of operative time
Glans aproximation is technically easy, reliable, and offers a relatively low complication rate for the repair of a very select group of patients with hypospadias with a deep ventral glanular groove and wide-mouthed meatus
Conclusion
Approximated glanuloplasty has many advantages, lower operative time, lower blood loss, no need for tourniquet and is a simple procedure for the hypospadiologist.