Background and  purpose: Urethrocutaneous fistula (UCF) remains the  most  frequent encountered complication of hypospadius surgery even in experienced surgical  hands. The key measure to ensure a successful repair  is separation of the suture  lines in the urethra  and skin, using well vascularized elastic tissue. This study aims to use tunneled  tunica vaginalis flap(IVF) as adjunct in UCF  repair  either  initial or recurrent following TIP technique and  to evaluate outcome of cases regarding recurrence of  fistula and  other  postoperative complications. Material and methods: In period between Jun. 2007 to Jun.2009, 14 cases of urethrocutaneous fistula  post TIP  technique with a mean age 5.6 year (3-11)  were  operated on using TVF. For each  patient, we reported original preoperative location of urethral meatus, the number and location of fistulas, number of surgery, size of fistula and duration of surgery. Outcome  of cases regarding to recurrence of fistula  and other complications was reported. Follow up of cases ranged.from 6 months to 24 months (mean  12 months). Result: Of total  14 patients, 5 (35.7%) patients had previous attempt for closure of UCF ranged.from 1-2 times. 4 (28.6%) patients had multiple UCF ranged.from 2-3 fistulae at different location. Site of  UCF  was maximally located  proximal penile  followed by midpenile. Size of UCF ranged .from 2 to 10mm  .Operative time ranged from 45 to 90 minutes with a mean time (60) minutes.Duringfollow up period no delayed postoperative complications had been observed. Conclusion: The  tunneled tunica  vaginalis flap is an excellent method  for closure of both initial and recurrent urethrocutaneous fistula post TIP technique. The flap is easy to be harvested and mobilized without  testicular complication and provide sufficient length to cover repaired UCF regardless of number, location  and size of fistula