Chordee without hypospadias (CWH) is a group of conditions which share the peculiarity of ventral bending of the penis and a glanular meatus. During the years many attempts to classify CWH have been proposed, based either on anatomical or intraoperative findings. After reviewing most of the published series on CWH, the authors suggest abandoning the old term "chordee without hypospadias": two distinct groups have been recognized and new terminology would help clarify these groups. The first group, usually observed in babies with some "forme fruste? of hypospadias, should be called "hypospadias variants" (further classified as type I, II, or III). The second group, usually presenting at an older age when abnormally curved erections are noticed, tend to have a normal urethra, and the term "congenital ventral penile curvature" seems most appropriate for this group. Operative management of the most severe forms confronts the surgeon with the difficult decision of preserving or reconstructing the urethra. An intraoperative step-by-step sequence is mandatory, allowing a progressive identification of the pathological structures involved and their subsequent correction.
|Title of host publication||Hypospadias Surgery: Challenges and Limits|
|Publisher||Nova Science Publishers, Inc.|
|Number of pages||20|
|ISBN (Print)||9781633211414, 9781633211384|
|Publication status||Published - Jul 1 2014|
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