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Related Experiment Videos

Frenular chordee: implications and treatment.

A S Griffin1, R L Kroovand

  • 1Department of Surgery, Wake Forest University Medical Center, Winston-Salem, North Carolina.

Urology
|February 1, 1990
PubMed
Summary

A prominent frenulum caused ventral glandular chordee in 20 of 75 boys undergoing circumcision. Incising this tissue improved surgical outcomes and appearance.

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Area of Science:

  • Pediatric Surgery
  • Urology

Background:

  • Ventral glandular chordee is a condition affecting male children.
  • A prominent frenulum can contribute to chordee, impacting surgical procedures.

Purpose of the Study:

  • To evaluate the impact of frenulum incision on ventral glandular chordee during circumcision.
  • To assess improvements in surgical exposure and cosmetic outcomes.

Main Methods:

  • Observational study of 75 male children undergoing elective circumcision.
  • Identification of ventral glandular chordee caused by prominent frenulum in 20 patients.
  • Surgical incision of the prominent frenulum.

Main Results:

  • Twenty out of 75 children (26.7%) presented with ventral glandular chordee due to a prominent frenulum.
  • Frenulum incision effectively relaxed the glandular traction (chordee).
  • Improved exposure of the ventral inner prepuce facilitated skin incisions and enhanced the cosmetic and functional results.

Conclusions:

  • Incision of a prominent frenulum is an effective surgical technique to address ventral glandular chordee.
  • This intervention leads to better surgical outcomes and improved cosmetic and functional results in pediatric circumcision.
  • Recognizing and treating prominent frenulum-induced chordee is important for optimal surgical results.

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