With its anatomical and functional characteristics, the male urethra occupies an important place in human pathology. On the one hand, some diseases (hypospadias, fistulas, strictures, etc.) cause disorders in both the excretory functions of the body and the reproductive capabilities of men. On the other hand, the choice of treatment is a serious challenge for surgery, with the many problems arising from the need to select the most appropriate surgical technique and use the optimal plastic material. Recent studies on male urethral diseases show that over the past 30 years, the number of hypospadias cases has doubled worldwide, and currently 28% of all anomalies in boys are due to them. At the same time, one of the most common acquired diseases, such as male urethral strictures, accounts for nearly 15% of surgical activity in urology departments. The existence of multiple surgical techniques for the treatment of both congenital anomalies of the male urethra and urethral strictures clearly shows that the problem has not been solved and that every new or innovated old method, as well as the creation of therapeutic algorithms, is a serious contribution to the field of reconstructive surgery of the male urethra.