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Related Experiment Videos

Chordee correction by corporal rotation: the split and roll technique.

R M Decter1

  • 1Department of Surgery, Section of Urology, Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA.

The Journal of Urology
|August 24, 1999
PubMed
Summary

This study presents a novel corporal rotation technique for severe hypospadias chordee. The split and roll method effectively straightens the phallus without shortening, preserving vital structures for single-stage reconstruction.

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Area of Science:

  • Urology
  • Pediatric Surgery
  • Reconstructive Surgery

Background:

  • Ventral chordee in severe hypospadias presents complex surgical challenges.
  • Existing methods like dorsal plication can cause penile shortening, and grafts may necessitate staged procedures.

Purpose of the Study:

  • To present an alternative surgical approach using corporal rotation to correct ventral chordee in severe hypospadias.
  • To evaluate the efficacy of this technique in achieving phallic straightening and preserving penile length.

Main Methods:

  • A ventral midline incision was used to split the septum between corpora cavernosa, facilitating corporal rotation.
  • Neurovascular bundles were elevated and preserved by dissecting Buck's fascia dorsally.
  • Nonabsorbable sutures were placed and tied to rotate corpora toward the dorsal midline, correcting curvature.

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Main Results:

  • The corporal rotation technique achieved excellent intraoperative phallic straightening in all six patients.
  • No incisions into the corporal substance or use of grafts were required.

Conclusions:

  • The split and roll technique offers a single-stage solution for severe hypospadias chordee.
  • This method avoids phallic shortening and preserves neurovascular bundles, maximizing penile length.