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Published-Ahead-of-Print April 4, 2007, DOI:10.2164/jandrol.106.002436

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Chordee without hypospadias: report of 79 Chinese prepubertal cases

Yun-Man Tang *, Shao-Ji Chen , Lu-Gang Huang , and Ming-He Wang

* To whom correspondence should be addressed. E-mail: tangyunman{at}126.com.

A series of Chinese prepubertal cases of congenital chordee without hypospdias was presented and the clinical data described. From July 1999 to September 2006, 79 boys with congenital chordee without hypospadias were treated in the Department of Pediatric Surgery, West China Hospital of Sichuan University, PR China. The age ranged from 21 months to 14 years old, with a mean of 76.8 months. The patients were categorized according to structural defect into 4 groups, with the aid of intra-operative artificial erection. Group I included those with skin tethering (28 cases, 35.4%), group II fascial chordee (22, 27.8%), group III corporal disproportion (10, 12.7%), and group IV urethral tethering (19, 24.1%). Chordee-related structural defect was considered the only criterion for classification and urethral dysgenesis influenced the choice of surgical procedure. The chordee in group I cases was corrected with penile degloving, in group II with release of dense fibrous tissue in addition, in group III with dorsal-midline-plication-based correction, and in group IV with longitudinal-island-flap-urethroplasty-based repair. At a mean follow up of 14.8 months (range 2 to 63), all patients reported penile straightening except 1 group III case with residual curvature which was managed at reoperation. Glans dehiscence occurred in 1 group II case who underwent a TIP urethroplasty. Urethrocutaneous fistula and urethral stricture were found respectively in 2 group IV cases undergone island flap urethroplasty. With the categorization based on structural defect, chordee without hypospadias may be managed well with minimized complications.


Key words: Penis • Surgery • chordee • hypospadias






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