|The Male Reproductive System|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Hypospadias with chordee—the opening of the urethra is on the bottom of the penis instead of at the tip of the penis. Hypospadias can make it difficult for the child to urinate while standing. It can also affect sexual function later in life.
- Shortened penis
- Need for another operation
- Reaction to the anesthesia
- Psychological trauma
What to Expect
Prior to Procedure
- Physical exam, which may include causing an artificial erection to check the degree of curvature
- Blood and urine tests
- A discussion about the anesthesia being used and the potential risks
Description of Procedure
- Removing tissue that is constricting the erection
- Making the longer and shorter sides of the penis equal in length
- Lengthening the urethra if the urethra is short—tissue from the foreskin or another site will be used
How Long Will It Take?
How Much Will It Hurt?
- Washing their hands
- Wearing gloves or masks
- Keeping your child's incisions covered
- Washing your hands and your child's hands often and reminding visitors and healthcare providers to do the same
- Reminding your child's healthcare providers to wear gloves or masks
- Not allowing others to touch your child's incisions
- Your child should only engage in light, gentle activities while the penis is healing.
- Follow all of the doctor’s instructions.
Call Your Doctor
- Pain that is not controlled with the medication that has been given
- Redness, increased swelling, or tenderness in the penis
- Bleeding from the penis
- Signs of infection, including fever and chills
- Nausea or vomiting
- Inability to eat or drink
- Difficulty urinating or inability to urinate
- Stitches fall out
American Urological Association http://www.auanet.org
Healthy Children—American Academy of Pediatrics http://www.healthychildren.org
Canadian Urological Association http://www.cua.org
Health Canada http://www.hc-sc.gc.ca
Agency for Healthcare Research and Quality (AHRQ), National Guideline Clearinghouse. Guidelines on penile curvature. AHRQ, National Guideline Clearinghouse website. Available at: http://www.guideline.gov/content.aspx?id=37628&search=congenital+penile+curvature. Published February 2012. Accessed September 11, 2014.
Congenital penile curvature: chordee. Institute for Sexual Medicine website. Available at: http://sexualmed.org/index.cfm/sexual-health-issues/for-men/congenital-penile-curvature-chordee/. Accessed September 11, 2014.
Hypospadias. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated March 26, 2015. Accessed May 6, 2015.
Hypospadias/chordee. Cincinnati Children's Hospital website. Available at: http://www.cincinnatichildrens.org/health/h/hypospadias. Updated June 2013. Accessed May 6, 2015.
Mingin G, Baskin L. Management of chordee in children and young adults. Urol Clin N Am. 2002;29:277-284.
Montag S, Palmer L. Abnormalities of penile curvature: chordee and penile torsion. ScientificWorldJournal. 2011 Jul 28;11:1470.
Snodgrass W. Management of penile curvature in children. Curr Opin Urol. 2008;18:431-435.
Penile chordee. North Texas Pediatric Urology Associates website. Available at: http://www.urologyclinics.com/assets/images/NTPUAChordeePhalloplasty.pdf. Accessed May 5, 2015.
- Reviewer: Michael Woods, MD
- Review Date: 05/2015 -
- Update Date: 05/13/2015 -