Chordee without hypospadias: experience with 33 cases.

Area of Science:

• Urology
• Pediatric Surgery
• Reconstructive Surgery

Background:

• Penile chordee without hypospadias is a congenital condition requiring surgical intervention.
• Early and effective treatment is crucial for functional and cosmetic outcomes in affected children.

Purpose of the Study:

• To evaluate the surgical technique for penile chordee correction without hypospadias.
• To assess the efficacy and complication rates of reconstructive procedures in pediatric patients.

Main Methods:

• Retrospective analysis of 33 patients (6 months to 19 years) treated between 1966 and 1990.
• Surgical approach included penile degloving, urethral mobilization, chordee resection, and skin closure with Byars' flaps.
• Grafting techniques (preputial, bladder, arm, dermal) were utilized for urethral lengthening and shaft reconstruction when necessary.

Main Results:

• Successful penile straightening was achieved in all patients.
• 10 patients required only chordee resection and closure.
• 20 patients needed urethral lengthening, with various graft sources used; 4 of these also required dermal grafts.
• 8 complications occurred in 7 patients, including anastomotic stenosis and urethral fistula, all corrected by reoperation.

Conclusions:

• The described surgical technique, including chordee resection and grafting for urethral lengthening, is effective for correcting penile chordee without hypospadias in pediatric patients.
• While complications can occur, they are manageable with reoperation, leading to satisfactory long-term results.