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Published on: March 15, 2024
Management of penile curvature in children
1UT Southwestern Medical Center and Children's Medical Center Dallas, Dallas, Texas, USA. warren.snodgrass@childrens.com
Insights
Pediatric urologists are exploring new surgical techniques to correct ventral penile curvature in hypospadias and chordee. Innovations include combining urethral plate elevation with grafting or dissection to straighten the penis while preserving tissue for future urethroplasty.
Area of Science:
- Pediatric Urology
- Genitourinary Surgery
Background:
- Ventral penile curvature is a condition affecting individuals with hypospadias and 'chordee without hypospadias'.
- Correction of this curvature is a significant concern for pediatric urologists.
Purpose of the Study:
- To review current and innovative surgical approaches for correcting ventral penile curvature.
- To highlight advancements in techniques relevant to pediatric urology.
Main Methods:
- Review of commonly used methods like dorsal plication and ventral corporal incision with grafting.
- Analysis of recent innovations, including urethral plate elevation combined with ventral corporal grafting or dissection.
Main Results:
- Dorsal plication and ventral corporal incision with grafting are established techniques.
- Urethral plate elevation, when combined with grafting or dissection, shows promise for straightening.
- These combined approaches aim to straighten the penis while conserving the urethral plate for urethroplasty.
Conclusions:
- Ongoing innovation in hypospadias surgery provides enhanced options for penile straightening.
- New techniques offer improved outcomes for congenital penile curvature correction.
Purpose Of Review:
Ventral penile curvature occurs in both hypospadias and so-called 'chordee without hypospadias', and so its correction is a topic of relevance to pediatric urologists.
Recent Findings:
Dorsal plication and ventral corporal incision with grafting are the two most commonly used methods to straighten ventral penile curvature. Urethral plate elevation from the corpora has previously been reported to reduce bending, and in the past year this maneuver has been combined with ventral corporal grafting or with dissection of the formed urethra to the bulb to achieve straightening while conserving the plate for urethroplasty.
Summary:
Continuing innovation in hypospadias surgery offers additional options for straightening the congenitally bent penis.

