LATE ONSET RECURRENT PENILE CHORDEE AFTER SUCCESSFUL CORRECTION AT HYPOSPADIAS REPAIR

No AccessJournal of UrologyChordee/Hypospadias/Penile Reconstruction1 Sep 1998LATE ONSET RECURRENT PENILE CHORDEE AFTER SUCCESSFUL CORRECTION AT HYPOSPADIAS REPAIR DAVID R. VANDERSTEEN and DOUGLAS A. HUSMANN DAVID R. VANDERSTEENDAVID R. VANDERSTEEN More articles by this author and DOUGLAS A. HUSMANNDOUGLAS A. HUSMANN More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)62716-2AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Artificial erections are induced at hypospadias repair to prevent recurrent chordee. We describe the development and etiology of late onset recurrent chordee greater than 10 years after the initial surgery. Materials and Methods: We reviewed the medical records of 22 patients with a median age of 4 years at surgery who were referred for evaluation of chordee 10 years after successful hypospadias repair. Results: Of the 22 patients with recurrent chordee 13 had penoscrotal and 9 had proximal penile hypospadias at the initial operation. All originally required corporoplasty for the release of chordee, including Nesbit procedure in 19 and tunica vaginalis graft in 3. Successful artificial erections were induced after corporoplasty in all cases. Urethral reconstruction was performed with full-thickness preputial free grafts in 11 cases, bladder mucosal grafts in 7 and transverse island flap urethroplasty in 4. Although chordee developed during puberty (median age of onset 16 years, range 12 to 18), the median age at presentation for surgical correction was 21 years. Recurrent chordee was due to extensive fibrosis of the reconstructed urethra in 7 cases (32%), corporeal disproportion in 8 (36%) and both conditions in 7 (32%). Conclusions: A successful artificial erection induced at hypospadias surgery does not prevent the delayed onset of recurrent chordee. 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Link, Google Scholar From the Departments of Urology, University of Texas Southwestern, Dallas, Texas, and Mayo Clinic, Rochester, Minnesota© 1998 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byMcNamara E, Schaeffer A, Logvinenko T, Seager C, Rosoklija I, Nelson C, Retik A, Diamond D and Cendron M (2018) Management of Proximal Hypospadias with 2-Stage Repair: 20-Year ExperienceJournal of Urology, VOL. 194, NO. 4, (1080-1085), Online publication date: 1-Oct-2015.Castagnetti M and El-Ghoneimi A (2018) Surgical Management of Primary Severe Hypospadias in Children: Systematic 20-Year ReviewJournal of Urology, VOL. 184, NO. 4, (1469-1475), Online publication date: 1-Oct-2010.Braga L, Lorenzo A, Bägli D, Dave S, Eeg K, Farhat W, Pippi Salle J and Khoury A (2008) Ventral Penile Lengthening Versus Dorsal Plication for Severe Ventral Curvature in Children With Proximal HypospadiasJournal of Urology, VOL. 180, NO. 4S, (1743-1748), Online publication date: 1-Oct-2008.Leslie J, Cain M, Kaefer M, Meldrum K, Misseri R and Rink R (2008) Corporeal Grafting for Severe Hypospadias: A Single Institution Experience With 3 TechniquesJournal of Urology, VOL. 180, NO. 4S, (1749-1752), Online publication date: 1-Oct-2008.Badawy H and Morsi H (2008) Long-Term Followup of Dermal Grafts for Repair of Severe Penile CurvatureJournal of Urology, VOL. 180, NO. 4S, (1842-1845), Online publication date: 1-Oct-2008.Braga L, Pippi Salle J, Dave S, Bagli D, Lorenzo A and Khoury A (2007) Outcome Analysis of Severe Chordee Correction Using Tunica Vaginalis as a Flap in Boys With Proximal HypospadiasJournal of Urology, VOL. 178, NO. 4S, (1693-1697), Online publication date: 1-Oct-2007.Kajbafzadeh A, Arshadi H, Payabvash S, Salmasi A, Najjaran-Tousi V and Sahebpor A (2018) Proximal Hypospadias With Severe Chordee: Single Stage Repair Using Corporeal Tunica Vaginalis Free GraftJournal of Urology, VOL. 178, NO. 3, (1036-1042), Online publication date: 1-Sep-2007.Elmore J, Kirsch A, Scherz H and Smith E (2007) Small Intestinal Submucosa for Corporeal Body Grafting in Severe Hypospadias Requiring Division of the Urethral PlateJournal of Urology, VOL. 178, NO. 4S, (1698-1701), Online publication date: 1-Oct-2007.Yucel S, Sanli A, Kukul E, Karaguzel G, Melikoglu M and Guntekin E (2018) Midline Dorsal Plication to Repair Recurrent Chordee at Reoperation for Hypospadias Surgery ComplicationJournal of Urology, VOL. 175, NO. 2, (699-703), Online publication date: 1-Feb-2006.LAM P, GREENFIELD S and WILLIOT P (2018) 2-STAGE REPAIR IN INFANCY FOR SEVERE HYPOSPADIAS WITH CHORDEE: LONG-TERM RESULTS AFTER PUBERTYJournal of Urology, VOL. 174, NO. 4 Part 2, (1567-1572), Online publication date: 1-Oct-2005.HAFEZ A, EL-ASSMY A and EL-HAMID M (2018) 4 LAYER VERSUS 1 LAYER SMALL INTESTINAL SUBMUCOSA FOR CORRECTION OF PENILE CHORDEE: EXPERIMENTAL STUDY IN A RABBIT MODELJournal of Urology, VOL. 171, NO. 6 Part 1, (2489-2491), Online publication date: 1-Jun-2004.WEISER A, FRANCO I, HERZ D, SILVER R and REDA E (2018) Single Layered Small Intestinal Submucosa in the Repair of Severe Chordee and Complicated HypospadiasJournal of Urology, VOL. 170, NO. 4 Part 2, (1593-1595), Online publication date: 1-Oct-2003.Kropp B, Cheng E, Pope J, Brock J, Koyle M, Furness P, Weigel N, Keck R and Kropp K (2018) Use of Small Intestinal Submucosa for Corporal Body Grafting in Cases of Severe Penile CurvatureJournal of Urology, VOL. 168, NO. 4 Part 2, (1742-1745), Online publication date: 1-Oct-2002.HAFEZ A, SMITH C, MCLORIE G, EL-GHONEIMI A, HERZ D, BÄGLI D and KHOURY A (2018) TUNICA VAGINALIS FOR CORRECTING PENILE CHORDEE IN A RABBIT MODEL: IS THERE A DIFFERENCE IN FLAP VERSUS GRAFT?Journal of Urology, VOL. 166, NO. 4, (1429-1432), Online publication date: 1-Oct-2001.CAESAR R and CALDAMONE A (2018) THE USE OF FREE GRAFTS FOR CORRECTING PENILE CHORDEEJournal of Urology, VOL. 164, NO. 5, (1691-1693), Online publication date: 1-Nov-2000.NAGLER A, GOFRIT O, OHANA M, PODE D, GENINA O and PINES M (2018) THE EFFECT OF HALOFUGINONE, AN INHIBITOR OF COLLAGEN TYPE I SYNTHESIS, ON URETHRAL STRICTURE FORMATION: IN VIVO AND IN VITRO STUDY IN A RAT MODELJournal of Urology, VOL. 164, NO. 5, (1776-1780), Online publication date: 1-Nov-2000. Volume 160Issue 3 Part 2September 1998Page: 1131-1133 Advertisement Copyright & Permissions© 1998 by American Urological Association, Inc.MetricsAuthor Information DAVID R. VANDERSTEEN More articles by this author DOUGLAS A. HUSMANN More articles by this author Expand All Advertisement PDF downloadLoading ...