“…The first principle is recognition of the native urethra, identified by the presence of a normal verumontanum, distal urethral sphincter and its generally wider calibre. 3,4 Prior to proceeding with surgery, it is important to ensure that the native urethral calibre is sufficient to allow unobstructed urine flow. The accessory urethra can then usually be adequately excised with concomitant correction of any chordee or epispadias/hypospadias.…”