Hypospadias is one of the most common genitourinary birth defects, occurring in around 1 in 300 male births. Surgery is the sole treatment option for hypospadias. The most common and baffling problem that occurs after hypospadias repair is the urethrocutaneous fistula (UCF), and its treatment is very challenging. Hence to lessen the incidence of this complication various techniques using vascularised soft tissue flaps in between neourethra and skin as an intervening layer are being practiced. Although various advantages and disadvantages of the intervening layer have been reported, definitive evidence to establish its superiority in reducing post-hypospadias repair complications remains lacking. To address this, we designed a Pilot Randomized Controlled Trial to evaluate and compare the surgical and cosmetic outcomes of Tubularized Incised Plate (TIP) urethroplasty in hypospadias with or without de-epithelialized dorsal preputial dartos flap as an intervening layer. The objectives of the study are to compare the combined incidence of postoperative complications i.e., urethrocutaneous fistula and glans dehiscence and to compare the intra operative outcomes, post operative outcomes along with cosmetic appearance using Hypospadias Objective Penile Evaluation (HOPE) score in Tubularized Incised Plate urethroplasty with or without the use of de-epithelialized dorsal preputial dartos flap as an intervening layer at 6 months follow-up after surgery.