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The Surgical Treatment of Chordee Without Hypospadias in Men

1991; Lippincott Williams & Wilkins; Volume: 146; Issue: 2 Part 1 Linguagem: Inglês

10.1016/s0022-5347(17)37783-2

1527-3792

Charles J. Devine, Shem K. Blackley, Charles E. Horton, David Gilbert,

Genital Health and Disease

No AccessJournal of Urology1 Aug 1991The Surgical Treatment of Chordee Without Hypospadias in Men Charles J. Devine, Shem K. Blackley, Charles E. Horton, and David A. Gilbert Charles J. DevineCharles J. Devine More articles by this author , Shem K. BlackleyShem K. Blackley More articles by this author , Charles E. HortonCharles E. Horton More articles by this author , and David A. GilbertDavid A. Gilbert More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)37783-2AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail During a 2-year period we treated 26 young men for chordee without hypospadias. Many of these patients had straight erections as children but a ventral curvature developed as they achieved puberty. We describe the anatomical findings and discuss the possible cause for the development of this anomaly. Surgical therapy begins with a circumcising incision and reflection of the skin to expose the shaft of the penis. The corpus spongiosum containing the urethra was mobilized by resecting the dysgenetic tissue in the dartos and Buck’s fascia layers. In 1 patient this dissection was sufficient to straighten the penis but in the remaining 25 the penis was not straight. In those patients we mobilized the dorsal bundle of vessels and nerves, and removed 1 or several ellipses of tunica albuginea to equalize the lengths of the ventral and dorsal aspects of the corpora cavernosa. The corpus spongiosum usually is elastic and the curve almost never is caused by shortness of the urethra, which stretches to fit the straightened penis. In 24 of the 26 patients the curvature was resolved with 1 operation, while 2 needed a second procedure. © 1991 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited bySpinoit A, Van Praet C, Groen L, Van Laecke E, Praet M and Hoebeke P (2018) Congenital Penile Pathology is Associated with Abnormal Development of the Dartos Muscle: A Prospective Study of Primary Penile Surgery at a Tertiary Referral CenterJournal of Urology, VOL. 193, NO. 5, (1620-1624), Online publication date: 1-May-2015.Bhat A (2018) Extended Urethral Mobilization in Incised Plate Urethroplasty for Severe Hypospadias: A Variation in Technique to Improve Chordee CorrectionJournal of Urology, VOL. 178, NO. 3, (1031-1035), Online publication date: 1-Sep-2007.DONNAHOO K, CAIN M, POPE J, CASALE A, KEATING M, ADAMS M and RINK R (2018) ETIOLOGY, MANAGEMENT AND SURGICAL COMPLICATIONS OF CONGENITAL CHORDEE WITHOUT HYPOSPADIASJournal of Urology, VOL. 160, NO. 3 Part 2, (1120-1122), Online publication date: 1-Sep-1998.PEROVIC S, DJORDJEVIC M and DJAKOVIC N (2018) A NEW APPROACH TO THE TREATMENT OF PENILE CURVATUREJournal of Urology, VOL. 160, NO. 3 Part 2, (1123-1127), Online publication date: 1-Sep-1998. Volume 146Issue 2 Part 1August 1991Page: 325-329 Advertisement Copyright & Permissions© 1991 by The American Urological Association Education and Research, Inc.Keywordspenispenile erectionhypospadiaspenile diseasesMetricsAuthor Information Charles J. Devine More articles by this author Shem K. Blackley More articles by this author Charles E. Horton More articles by this author David A. Gilbert More articles by this author Expand All Advertisement PDF downloadLoading ...