The surgical approach for distal hypospadias repair is simplified based on the advancement of surgical instruments and materials. Distal hypospadias repair involves a variety of urinary diversion approaches to reduce complications and maintain early neo-urethral patency. Stent-based urethroplasty is the most widely used method, but it is associated with bladder spasm and stent removal discomfort.
Alternatively, non-stented urethroplasty eliminates stent-related problems without increasing complications. Source: Science Direct