EXPERIENCE WITH 11 CASES OF CHORDEE WITHOUT HYPOSPADIAS

Abstract

Our experience with surgical treatment of chordee without hypospadias (CWH) performed in 11 boys (ages ranged from 2 to 11 year-old) was reported. As done by Devine and Horton, meticulous dissection enabled us to devide CWH into three types depending on the deficiency of periurethral layers. Eight of them were classified as type I as all periurethral layers (corpus spongiosum, dartos and Buck's fasciae) were deficient. Chordee deformity was corrected by further urethral mobilization in 5 (type Ia) and by urethral transection for dysplastic urethra (type Ib) in other 2. A case of type Ib who did not undergo urethral transection still remained in a state of “short urethra”. Three of type II in which the urethra was surrounded by normal corpus spongiosum but deficient in dartos and Buck's fasciae were successfully corrected by dartos mobilization alone. Type III deformity, characterized as the limited abnormality of dartos fascia, was not experienced. The total success rate was 10/11 (90%).