Context: There is no data published on the outcome and complications of Modified Asopa-I repair, though it is conceptually proved to be superior and results are better. Hence study on this subject was necessary. Aims: To evaluate the results of Modified Asopa-I repair in patients of hypospadias. Settings and design: A retrospective and prospective, Analytical study was carried out at Asopa Hospital and Research Centre,  Agra. Methods and Material: 56 patients operated by Modified Asopa-I repair procedure for hypospadias between April 2012 to March 2016 at Asopa Hospital and Research Centre, Agra were included. Surgery for hypospadias is done after the patient is 18 to 24 months of age and onwards but preferably before age of school going. Statistical Analysis: Proportions were used to analyze the data. Results: 23 (41.07%) patients developed one or more complications. Majority of which were minor complications. Early post-operative complications, like suture line infection and edema developed in 21.42% patients each. 3.57% patients had flap necrosis. 7.14% patients developed urethrocutaneous fistula. On follow-up for 1 month to 4 years, residual chordee, meatal stenosis & stricture urethra was not detected in any patient. Diverticulum, sacculation and ‘S’ shape deformity was also not detected in any case. 3 (5.35%) patients required second surgery. Conclusion: The Modified Asopa-I repair can be done in patients of hypospadias with chordee & urethral opening from glandular to pen scrotal region  with adequate prepuce, and flat, concave or conicalglands.

Keywords: Modified Asopa-I Repair; Hypospadias; Complications; Follow up.