26. 1.Distal penile epispadias 2. Wide diastasis of the pubic bone and external displacement of the hips in epispadias. 3. Distal epispadias. Outlining of local flaps from the glans to reconstruct the distal urethra. 4.Vertical island flap drawn on the ventral aspect of the penis 5. Island flap transferred dorsally and anastomosed to the urethra. 6. Island flap sutured into a tube to reconstruct the missing portion of the urethra 7. Urethral reconstruction is completed 8. Drawing of the final appearance at the end of the operation. 9. Final Apperance