I just saw a premature newborn with mid penile fistula, multicistic left kidney and severe hydro on the right, high levels of creatinine (2.0 mg/dl), metabolic acidosis and not voiding. He is 6  days now and I still could not do a VCUG due to clínical status. I just left a Cath.

Dear Mohamed :

I think the operative treatment will not differ from penile hypospadias   .

Making sure that it is not part of a urethral duplication.