Frenulum is frequently damaged during circumcision, and absent in almost all hypospadias cases. But it is a natural feature of normal penis, and it is one of the most sensitive areas in male genitalia. Hypospadias repair has evolved from just having a urethral meatus at the tip of the penis to having a ''normal'' penis. This may include foreskin reconstruction. For those communities who routinely have circumcision, penile frenulum is visible. Its absence is one of the major signs of previous hypospadias repair. So, I believe reconstructing frenulum may add to achieving a normal penis.
Yes we try to reconstruct frenulum with a frenuloplasty during hypospadias repair
I have done in cases of coronal hypospadias when i reconstruct foreskin . Otherwise , I guess it is not possible in all cases and all procedures.
An important step for better post Hypospadias repair outcome is to have well vascularized sufficiest ventral mucosal collar that can mimic frenulum and decrease the risk of fistula
We also try to construct a frenulu-like mucosal fold at the level of the corona
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