We describe a new technique for complete repair of severe posterior hypospadias in one stage. The operative technique includes some innovative points penile straightening is realized by urethral mobilization to excise the chordee, and then urethroplasty according to Duplay procedure and glanduloplasty are performed. We report our results in 34 patients. Preservation of urethral plate in hypospadias repair is a principle with significant implications to an extended variety of hypospadias.