Abstract
Three distinct pathologic types of chordee with hypospadias were described by Horton and Devine (1973). In the first type the spongiosum is absent in the distal penis, an abnormal fibrous layer prevents the penis from being straight and the urethra is often paper thin. In the second type, the urethra is completely developed but Buck’s fascia and the dartos fascia are abnormal. The third type was described as a skin chordee and is due to abnormality of the superficial dartos fascia. A fourth type was described by Kramer et al. (1982) and may be the result of disproportional growth of the dorsal portion of the corporal bodies causing downward deflection.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
American Academy of Pediatrics, Section of Urology: Varied opinionsand treatment as documented in a survey of the American Academy of Pediatrics, Section of Urology. Urology. 1999; 53:608–612.
Baskin L, Duckett JW: Dorsal tunica albuginia plication (TAP) for hypospadias curvature. J Urol. 1994; 151:1668.
Baskin LS, Erol A, Li YW, et al: Anatomical studies of hypospadias. J Urol. 1998; 160:1108.
Belman AB: Hypospadias and chordee. In: Belman AB, King LR, Kramer SA (eds): Clinical pediatric urology, 4th edn. Dunitz, London, pp 1061–1092; 2002.
Bologna RA, Noah TA, Nasrallah PF, et al: Chordee: varied opinions and treatments as documented in a survey of the American Academy of Pediatrics, Section of Urology. Urology. 1999; 53:608–612
Decter RM: Chordee correction by corporal rotation, the split and roll technique. J Urol. 1999; 162:1152–1154.
Devine CJ, Blackly SK, Horton CE, et al: The surgical treatment of chordee without hypospadias in men. J Urol. 1991; 146:325–329.
Friedrich MG, Evans D, Noldus J, et al: The correction of penile curvature with the Essed-Schroder technique: a long-term follow-up assessing functional aspects and quality of life. BJU Int. 2000; 86:1034–1038.
Gittes R, McLaughlin AI: Injection technique to induce penile erection. Urology. 1974; 4:473.
Horton CE, Devine CJ Jr: In: Horton E (ed): One stage repair in plastic and reconstructive surgery for the genital area. Little Brown, Boston, p 278; 1973.
Kaplan W, Lamm DL: Embryogenesis of chordee. J Urol. 1975; 114:769.
Kramer SA, Aydin G, Kelalis PP: Chordee without hypospadias in children. J Urol. 1982; 128:539.
Lindgren BW, Reda EF, Levitt SB, et al: Single and multiple dorsal grafts for the management of severe penile curvature. J Urol. 1998; 160:1128–1130.
Nesbit RM: Congenital curvature of the phallus, a report of three cases with description of corrective operation. J Urol. 1965; 93:230.
Perovic SW, Vukadinovic V, Djordjevic ML, et al: The penile disassembly technique in hypospadias repair. BJU. 1998; 81:479–487.
Pope JC 4th, Kropp BP, McLaughlin KP, et al: Penile ortho-plasty using dermal grafts in the outpatient setting. Urology. 1996;48:124–127
Siever R: Anomalien auf Penis: ihre Beziehung zur Hypo-spadie und ihre Deutung. Z Chir. 1926; 199:286.
Speakman MH, Azmy AF: Skin chordee without hypospadias — an under-recognised entity. Br J Urol. 1992; 69:428–429.
Vandersteen DR, Husmann DA: Late onset recurrent penile chordee after successful correction of hypospadias repair. J Urol. 1998;160:1131–1133.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2004 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Azmy, A.F. (2004). Chordee (Penile Curvature). In: Hadidi, A.T., Azmy, A.F. (eds) Hypospadias Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-07841-9_13
Download citation
DOI: https://doi.org/10.1007/978-3-662-07841-9_13
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-07843-3
Online ISBN: 978-3-662-07841-9
eBook Packages: Springer Book Archive