 We then mobilized subcutaneous tissue from the penile shaft skin, and the inner perpetual skin on the dorsum, and then buttonholed the flap, placed it over the head of the penis, and then, used it to cover of the hypospadias repair with tacking sutures of 7-0 Vicryl. 
We then mobilized subcutaneous tissue from the penile shaft skin , and the inner perpetual skin on the dorsum , and then buttonholed the flap , placed it over the head of the penis , and then , used it to cover of the hypospadias repair with tacking sutures of 7 - 0 Vicryl .