Etiology, management and surgical complications of congenital chordee without hypospadias

Kirstan K. Donnahoo, Mark P. Cain, John C. Pope, Anthony J. Casale, Michael A. Keating, Mark C. Adams, Richard C. Rink

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Purpose: We comprehensively evaluated the etiology, management and surgical complications of chordee without hypospadias. Materials and Methods: We reviewed the records of patients who underwent chordee correction between January 1985 and December 1996. A total of 87 patients with a median age of 14 months were treated for chordee without hypospadias. Mean followup was 10 months. Patients were treated in the standard fashion and a straight phallus was confirmed in all postoperatively. We grouped cases according to the etiology of chordee, including skin tethering, fibrotic dartos and Buck's fasciae, corporeal disproportion and urethral tethering. Results: Of the 87 patients 28 (32%) were successfully treated with release of the skin and superficial fascia. In 29 cases (33%) extensive resection of the fibrotic dartos and Buck's fasciae was necessary to straighten the phallus, including 2 (7%) in which chordee recurred. Corporeal disproportion was identified in 24 patients (28%), of whom 2 (8%) also had complications (urethrocutaneous fistula and recurrent chordee in 1 each). In 6 cases (7%) urethral tethering was the etiology of chordee, of which 3 (50%) had complications (urethrocutaneous fistula and recurrent chordee in 2 and 1, respectively). Overall 80 of the 87 patients (92%) were successfully treated with 1 operation. Conclusions: In our series the etiology of chordee without hypospadias was evenly divided among skin tethering, fibrotic dartos and Buck's fasciae, and corporeal disproportion. A congenitally short urethra was a rare cause of isolated chordee. Surgical correction is highly successful with a low 8% complication rate.

Original languageEnglish (US)
Pages (from-to)1120-1122
Number of pages3
JournalJournal of Urology
Volume160
Issue number3 II
DOIs
StatePublished - Sep 1998
Externally publishedYes

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Hypospadias
Fascia
Skin
Fistula
Subcutaneous Tissue
Urethra

Keywords

  • Abnormalities
  • Hypospadias
  • Penis
  • Urethra

ASJC Scopus subject areas

  • Urology

Cite this

Donnahoo, K. K., Cain, M. P., Pope, J. C., Casale, A. J., Keating, M. A., Adams, M. C., & Rink, R. C. (1998). Etiology, management and surgical complications of congenital chordee without hypospadias. Journal of Urology, 160(3 II), 1120-1122. https://doi.org/10.1016/S0022-5347(01)62713-7

Etiology, management and surgical complications of congenital chordee without hypospadias. / Donnahoo, Kirstan K.; Cain, Mark P.; Pope, John C.; Casale, Anthony J.; Keating, Michael A.; Adams, Mark C.; Rink, Richard C.

In: Journal of Urology, Vol. 160, No. 3 II, 09.1998, p. 1120-1122.

Research output: Contribution to journalArticle

Donnahoo, KK, Cain, MP, Pope, JC, Casale, AJ, Keating, MA, Adams, MC & Rink, RC 1998, 'Etiology, management and surgical complications of congenital chordee without hypospadias', Journal of Urology, vol. 160, no. 3 II, pp. 1120-1122. https://doi.org/10.1016/S0022-5347(01)62713-7
Donnahoo, Kirstan K. ; Cain, Mark P. ; Pope, John C. ; Casale, Anthony J. ; Keating, Michael A. ; Adams, Mark C. ; Rink, Richard C. / Etiology, management and surgical complications of congenital chordee without hypospadias. In: Journal of Urology. 1998 ; Vol. 160, No. 3 II. pp. 1120-1122.
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abstract = "Purpose: We comprehensively evaluated the etiology, management and surgical complications of chordee without hypospadias. Materials and Methods: We reviewed the records of patients who underwent chordee correction between January 1985 and December 1996. A total of 87 patients with a median age of 14 months were treated for chordee without hypospadias. Mean followup was 10 months. Patients were treated in the standard fashion and a straight phallus was confirmed in all postoperatively. We grouped cases according to the etiology of chordee, including skin tethering, fibrotic dartos and Buck's fasciae, corporeal disproportion and urethral tethering. Results: Of the 87 patients 28 (32{\%}) were successfully treated with release of the skin and superficial fascia. In 29 cases (33{\%}) extensive resection of the fibrotic dartos and Buck's fasciae was necessary to straighten the phallus, including 2 (7{\%}) in which chordee recurred. Corporeal disproportion was identified in 24 patients (28{\%}), of whom 2 (8{\%}) also had complications (urethrocutaneous fistula and recurrent chordee in 1 each). In 6 cases (7{\%}) urethral tethering was the etiology of chordee, of which 3 (50{\%}) had complications (urethrocutaneous fistula and recurrent chordee in 2 and 1, respectively). Overall 80 of the 87 patients (92{\%}) were successfully treated with 1 operation. Conclusions: In our series the etiology of chordee without hypospadias was evenly divided among skin tethering, fibrotic dartos and Buck's fasciae, and corporeal disproportion. A congenitally short urethra was a rare cause of isolated chordee. Surgical correction is highly successful with a low 8{\%} complication rate.",
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N2 - Purpose: We comprehensively evaluated the etiology, management and surgical complications of chordee without hypospadias. Materials and Methods: We reviewed the records of patients who underwent chordee correction between January 1985 and December 1996. A total of 87 patients with a median age of 14 months were treated for chordee without hypospadias. Mean followup was 10 months. Patients were treated in the standard fashion and a straight phallus was confirmed in all postoperatively. We grouped cases according to the etiology of chordee, including skin tethering, fibrotic dartos and Buck's fasciae, corporeal disproportion and urethral tethering. Results: Of the 87 patients 28 (32%) were successfully treated with release of the skin and superficial fascia. In 29 cases (33%) extensive resection of the fibrotic dartos and Buck's fasciae was necessary to straighten the phallus, including 2 (7%) in which chordee recurred. Corporeal disproportion was identified in 24 patients (28%), of whom 2 (8%) also had complications (urethrocutaneous fistula and recurrent chordee in 1 each). In 6 cases (7%) urethral tethering was the etiology of chordee, of which 3 (50%) had complications (urethrocutaneous fistula and recurrent chordee in 2 and 1, respectively). Overall 80 of the 87 patients (92%) were successfully treated with 1 operation. Conclusions: In our series the etiology of chordee without hypospadias was evenly divided among skin tethering, fibrotic dartos and Buck's fasciae, and corporeal disproportion. A congenitally short urethra was a rare cause of isolated chordee. Surgical correction is highly successful with a low 8% complication rate.

AB - Purpose: We comprehensively evaluated the etiology, management and surgical complications of chordee without hypospadias. Materials and Methods: We reviewed the records of patients who underwent chordee correction between January 1985 and December 1996. A total of 87 patients with a median age of 14 months were treated for chordee without hypospadias. Mean followup was 10 months. Patients were treated in the standard fashion and a straight phallus was confirmed in all postoperatively. We grouped cases according to the etiology of chordee, including skin tethering, fibrotic dartos and Buck's fasciae, corporeal disproportion and urethral tethering. Results: Of the 87 patients 28 (32%) were successfully treated with release of the skin and superficial fascia. In 29 cases (33%) extensive resection of the fibrotic dartos and Buck's fasciae was necessary to straighten the phallus, including 2 (7%) in which chordee recurred. Corporeal disproportion was identified in 24 patients (28%), of whom 2 (8%) also had complications (urethrocutaneous fistula and recurrent chordee in 1 each). In 6 cases (7%) urethral tethering was the etiology of chordee, of which 3 (50%) had complications (urethrocutaneous fistula and recurrent chordee in 2 and 1, respectively). Overall 80 of the 87 patients (92%) were successfully treated with 1 operation. Conclusions: In our series the etiology of chordee without hypospadias was evenly divided among skin tethering, fibrotic dartos and Buck's fasciae, and corporeal disproportion. A congenitally short urethra was a rare cause of isolated chordee. Surgical correction is highly successful with a low 8% complication rate.

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