Related Experiment Video
Updated: May 10, 2026
03:57
Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
Published on: July 8, 2025
Chordee without hypospadias: Operative classification and its management
Sunita Singh1, Jiledar Rawat, Shiv Narayan Kureel
1Department of Pediatric Surgery, CSM Medical University (Erstwhile King George Medical College), Lucknow, India.
Urology Annals
|June 27, 2013
Summary
This study proposes a new operative classification for Chordee without hypospadias (CWH) in developing countries. The classification aids in stepwise surgical management, improving outcomes for this complex condition.
Area of Science:
- Urology
- Pediatric Surgery
- Surgical Classification
Background:
- Chordee without hypospadias (CWH) presents unique challenges in surgical management, particularly in developing countries.
- Effective classification is crucial for guiding treatment strategies and improving patient outcomes.
Purpose of the Study:
- To introduce and validate a novel operative classification system for Chordee without hypospadias (CWH).
- To outline the corresponding surgical management strategies for each identified CWH type.
Main Methods:
- A retrospective analysis of 26 patients with CWH treated at a tertiary referral center (2000-2011).
- Patients were peroperatively classified into six types (A-F) based on the nature of the chordee.
- Surgical interventions included degloving, chordectomy, corporoplasty, urethral mobilization, and urethroplasty.
Main Results:
- The mean age at surgery was 5.33 years.
- An overall success rate of 65.6% was achieved, assessed by uroflowmetry and voiding cystourethrography.
- Complications included urethro-cutaneous fistula (26.9%) and urethral stricture (3.8%).
Conclusions:
- Chordee without hypospadias (CWH) requires a stepwise surgical approach.
- The proposed operative classification offers a framework for better understanding and managing CWH.
- Meticulous surgical technique, especially urethroplasty, is vital for successful outcomes.
Related Concept Videos
01:25Urinary Tract Calculi VI: Surgical Management
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
01:30Urinary Tract Calculi III: Medical Management
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
01:21Inflammatory Bowel Disease V: Surgical Management
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
01:28Urinary Tract Calculi V: Nursing Management
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...