Objective    To analyze the treatment of urethrocutaneous fistula after hypospadias repair in 25 adults for a better approach.     Methods    We subjected 25 adult patients who suffered from urethrocutaneous fistula after congenital hypospadias repair from 1997 to 2006 in our hospital. Of 25 patients

at the mean age of 26

there were 8 coronary sulcus type

7 penile type

and 10 penoscrotal type. Seven cases had only one fistulous orifice

and 18 had two or more orifices. The simple fistula (9 cases) were repaired with transverse Y-V advancement flap or TIP operation; The complicated fistula were treated with Mathieu technique

TIP technique or pedicled scrotal septum flap and covered with dartos-based flip flaps.     Results    There were 22 patients having good outcome at once

2 receiving second operation

and the left 1 was recovered after 4 times’ operation. There was no any complication during the follow-up of 6 months to 2 years.     Conclusion    The surgical treatment for urethrocutaneous fistula after hypospadias repair should be carried out according to the site of fistula and completed status. The simple fistula should be repaired with transverse Y-V advanced flap or TIP technique. Mathieu technique

TIP technique or pedicled scrotal septum flap and covered with dartos-based flip flaps are suitable for complicated fistula.