DORSAL CORPOREAL ROTATION - AN ALTERNATIVE TECHNIQUE FOR THE MANAGEMENT OF SEVERE CHORDEE

Chordee with or without hypospadias is usually managed successfully in a fairly straightforward manner. However, on occasion there are patie nts with severe chordee that cannot be corrected with the standard tec hniques. In this setting tunica vaginalis grafts, dermal grafts and Ne sbit plication techniques have been used but all of these procedures h ave major drawbacks. During the last 5 years we have used an alternati ve technique for the correction of severe ventral curvature that persi sts despite complete resection of fibrous chordee. This technique comb ines a deep vertical incision between the corporeal bodies ventrally w ith a series of transverse dorsal plicating sutures to correct chordee . There is no incision into the corporeal bodies and no shortening of the penis as with the Nesbit technique, and potential injury to the ne urovascular bundles is minimized. Followup 1 to 5 years later in 6 pat ients confirms satisfactory chordee correction in all cases.