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Correction of congenital chordee penis by "Ventral separation and outward rotation of corpora"

Dessanti, Antonio and Iannuccelli, Marco and Falchetti, Diego and Sotgiu, Sabrina and Scanu, Antonio Mario and Feo, Claudio F. (2002) Correction of congenital chordee penis by "Ventral separation and outward rotation of corpora". Journal of Pediatric Surgery, Vol. 37 (9), p. 1347-1350. ISSN 0022-3468. Article.

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DOI: 10.1053/jpsu.2002.35006

Abstract

Background/Purpose: The formation of congenital chordee penis in patients with or without hypospadias is multifactorial and not completely clear. In most cases, after release of all known causes of chordee, “residual” penile curvature can persist. The authors discuss the etiopathogenetic mechanisms of congenital chordee penis and describe their experience in surgical correction of “residual” penile curvature by “ventral separation and outward rotation of corpora.”
Methods: In 22 patients with congenital chordee penis with or without hypospadias, “residual” penile curvature was corrected by “ventral separation and outward rotation of corpora.”
Results: Ventral separation and outward rotation of corpora resulted in satisfactory correction of penile curvature. In only 2 cases of chordee penis without hypospadias was further intervention necessary: a Nesbit’s plication was carried out in one and a neourethra placed in the other. At follow-up no residual penile curvature was observed.
Conclusions: An arrest of development of the penis caused by failure of outward ventral rotation of the corpora, may contribute to the formation of chordee penis. When “residual” penile curvature persists, “ventral separation and outward rotation of corpora” can be used to correct this complex malformation.

Item Type:Article
ID Code:7621
Status:Published
Refereed:Yes
Uncontrolled Keywords:Congenital chordee penis, hypospadias
Subjects:Area 06 - Scienze mediche > MED/18 Chirurgia generale
Divisions:001 Università di Sassari > 01 Dipartimenti > Medicina clinica, sperimentale e oncologica
Publisher:W. B. Saunders / Elsevier
ISSN:0022-3468
Copyright Holders:© 2002, Elsevier Science (USA)
Deposited On:24 May 2012 16:05

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