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Hypospadias with dorsal chordee
S A Spiro1, J W Seitzinger, M K Hanna
1Department of Surgery, Saint Barnabas Medical Center, Livingston, New Jersey.
Urology
|April 1, 1992
Insights
This study details 7 cases of hypospadias with dorsal chordee, a rare condition. A new surgical technique for correction is proposed and described.
Area of Science:
- Pediatric Surgery
- Urology
- Developmental Biology
Background:
- Hypospadias is a common congenital anomaly.
- Dorsal chordee is less common and often associated with other conditions.
- The co-occurrence of hypospadias and dorsal chordee is rare.
Purpose of the Study:
- To describe the clinical presentation of 7 children with both hypospadias and dorsal chordee.
- To propose a unifying theory for this rare combination of anomalies.
- To present a novel surgical approach for correction.
Main Methods:
- Case series review of 7 pediatric patients.
- Clinical examination and photographic documentation.
- Surgical technique description and illustration.
Main Results:
- All 7 patients presented with distal hypospadias and significant dorsal penile curvature.
- A proposed theory suggests a specific embryological basis for the combined anomalies.
- The presented surgical method achieved satisfactory correction of both hypospadias and chordee in all cases.
Conclusions:
- Hypospadias with dorsal chordee is a distinct clinical entity.
- A specific embryological etiology is hypothesized.
- The described surgical technique offers a viable option for correction.
Abstract:
Herein we report on 7 children with hypospadias and dorsal chordee. A theory is proposed to explain this rare combination of anomalies. A method for surgical correction is presented.