|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 (eg, light-headedness, low blood pressure, wheezing)
- Infection (wound infection or urinary tract infection )
- 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
- Discuss the anesthesia being used and the potential risks
Description of Procedure
- Releasing tight, shortened foreskin
- Suturing extra skin on the longer side with permanent or absorbable stitches
- Cutting the lining of the urethra if the urethra is short
How Long Will It Take?
How Much Will It Hurt?
- Give medicines as directed. This may include antibiotic ointment to put on the penis.
- Your child should only engage in light, gentle activities while the penis is healing.
- Keep the bandaged area clean, dry, and protected as directed.
- Follow all of the doctor’s instructions.
Call Your Doctor
- Pain that is not controlled with the medicine the doctor has 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
- Catheter or stitches fall out
American Academy of Pediatrics http://www.healthychildren.org/
American Urological Association http://www.auanet.org/
Canadian Urological Association http://www.cua.org/
Health Canada http://www.hc-sc.gc.ca/index-eng.php/
Agency for Healthcare Research and Quality (AHRQ), National Guideline Clearinghouse. Congenital penile curvature. AHRQ, National Guideline Clearinghouse website. Available at: http://www.guideline.gov/content.aspx?id=12595&search=chordee . Published March 2009. Accessed September 14, 2012.
Elder J. Anomalies of the Penis and Urethra. In: Kleigman R, Behrman R, Jenson J. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, PA: Saunders Elsevier; 2007: chap 544.
Hypospadias. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated October 23, 2011. Accessed September 14, 2012.
Institute for Sexual Medicine. 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/ . Updated March 29, 2010. Accessed September 14, 2012.
Penn State Children’s Hospital. Chordee. Penn State Children’s Hospital website. Available at: http://www.hmc.psu.edu/childrens/healthinfo/c/chordee.htm . Updated October 31, 2006. Accessed September 14, 2012.
- Reviewer: Adrienne Carmack, MD
- Review Date: 09/2012 -
- Update Date: 00/92/2012 -