Purpose: The aim of our study is to focus on recent techniques of genitoplasty and to analyse the long term results and complications. Material and Methods: We retrospectively reviewed the files of 75 patients who underwent Modified cantwell Ransley epispadias repair for from 2003 to 2018. kelly procedure was performed in 17 cases. Results: Particularly focusing on postoperative anatomical and functional complications; 16% of patients had urethral fistulas; 15% had spraying micturition; short appearance penile occured in 20%; Some other patients presented horizontal penile in 22%, inaesthetic appearence 18%, penile curvatum 5%, imperfect meatus 45%, and skin excess 27%. Conclusion: The recent techniques of genital repair seem to have satisfactory results on the cosmetic aspect of the genitals, although none of these techniques is free from the occurrence of complications. the Surgical techniques continue to advance in the treatment of this urological congenital anomaly.