ETIOLOGY, MANAGEMENT AND SURGICAL COMPLICATIONS OF CONGENITAL CHORDEE WITHOUT HYPOSPADIAS

No AccessJournal of UrologyChordee/Hypospadias/Penile Reconstruction1 Sep 1998ETIOLOGY, MANAGEMENT AND SURGICAL COMPLICATIONS OF CONGENITAL CHORDEE WITHOUT HYPOSPADIAS KIRSTAN K. DONNAHOO, MARK P. CAIN, JOHN C. POPE, ANTHONY J. CASALE, MICHAEL A. KEATING, MARK C. ADAMS, and RICHARD C. RINK KIRSTAN K. DONNAHOOKIRSTAN K. DONNAHOO , MARK P. CAINMARK P. CAIN , JOHN C. POPEJOHN C. POPE , ANTHONY J. CASALEANTHONY J. CASALE , MICHAEL A. KEATINGMICHAEL A. KEATING , MARK C. ADAMSMARK C. ADAMS , and RICHARD C. RINKRICHARD C. RINK View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)62713-7AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We comprehensively evaluated the etiology, management and surgical complications of chordee without hypospadias. Materials and Methods: We reviewed the records of patients who underwent chordee correction between January 1985 and December 1996. A total of 87 patients with a median age of 14 months were treated for chordee without hypospadias. Mean followup was 10 months. Patients were treated in the standard fashion and a straight phallus was confirmed in all postoperatively. We grouped cases according to the etiology of chordee, including skin tethering, fibrotic dartos and Buck's fasciae, corporeal disproportion and urethral tethering. Results: Of the 87 patients 28 (32%) were successfully treated with release of the skin and superficial fascia. In 29 cases (33%) extensive resection of the fibrotic dartos and Buck's fasciae was necessary to straighten the phallus, including 2 (7%) in which chordee recurred. Corporeal disproportion was identified in 24 patients (28%), of whom 2 (8%) also had complications (urethrocutaneous fistula and recurrent chordee in 1 each). In 6 cases (7%) urethral tethering was the etiology of chordee, of which 3 (50%) had complications (urethrocutaneous fistula and recurrent chordee in 2 and 1, respectively). Overall 80 of the 87 patients (92%) were successfully treated with 1 operation. Conclusions: In our series the etiology of chordee without hypospadias was evenly divided among skin tethering, fibrotic dartos and Buck's fasciae, and corporeal disproportion. A congenitally short urethra was a rare cause of isolated chordee. Surgical correction is highly successful with a low 8% complication rate. References 1 : Chordee without hypospadias. J. Urol.1973; 110: 264. Link, Google Scholar 2 : Chordee without hypospadias in children. J. Urol.1982; 128: 559. Link, Google Scholar 3 : The surgical treatment of chordee without hypospadias in men. J. Urol.1991; 146: 325. Link, Google Scholar 4 : Struggles and triumphs with hypospadias and associated anomalies: review of 400 cases. J. Urol.1966; 96: 339. Link, Google Scholar 5 : Genital Abnormalities, Hermaphroditism and Related Adrenal Diseases. Baltimore: Wilkins & Wilkins1937. Google Scholar 6 : Use of dermal graft to correct chordee. J. Urol.1975; 113: 56. Link, Google Scholar 7 : Dermal graft correction of extraordinary chordee. J. Urol.1983; 130: 952. Link, Google Scholar 8 : Tunica vaginalis free graft for the correction of chordee. J. Urol.1985; 134: 311. Link, Google Scholar 9 : Chordee without hypospadias: experience with 33 cases. J. Urol.1992; 147: 107. Link, Google Scholar From the Indiana University Medical Center, Riley Hospital for Children, Indianapolis, Indiana© 1998 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byNyirády P, Kelemen Z, Bánfi G, Rusz A, Majoros A and Romics I (2018) Management of Congenital Penile CurvatureJournal of Urology, VOL. 179, NO. 4, (1495-1498), Online publication date: 1-Apr-2008.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. Volume 160Issue 3 Part 2September 1998Page: 1120-1122 Advertisement Copyright & Permissions© 1998 by American Urological Association, Inc.MetricsAuthor Information KIRSTAN K. DONNAHOO More articles by this author MARK P. CAIN More articles by this author JOHN C. POPE More articles by this author ANTHONY J. CASALE More articles by this author MICHAEL A. KEATING More articles by this author MARK C. ADAMS More articles by this author RICHARD C. RINK More articles by this author Expand All Advertisement PDF downloadLoading ...