Pronounced: kor-DEE ree-pahr
Chordee repair is a surgery to straighten the penis. It is done to repair a birth defect of the penis called chordee . This defect causes the penis to be curved, which is most obvious during an erection.
A chordee repair is done by a specialized doctor called a pediatric urologist. The surgery is typically done after 6 months of age.
The Male Reproductive System
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This procedure is done on boys born with:
After surgery, the penis should function normally.
Complications are rare, but no procedure is completely free of risk. If your child is having the surgery, the doctor will review a list of possible complications, which may include:
Discuss these risks with the doctor before surgery.
The following may be done:
Talk to the doctor about your child’s medications and supplements. Your child may need to stop certain medications before the surgery. Your child may also need to take certain medications to prepare for surgery.
Your child will need to have an empty stomach before the procedure. Ask the doctor when your child will need to stop breastfeeding or eating.
Local or general anesthesia will be used. This will block any pain.
Several techniques may be used to straighten the penis. In general, surgery aims to make the longer and shorter sides of the penis equal in length. Techniques may include:
An artificial erection will be created using a special injection. This will confirm that the penis is straight. Bandages will be placed around the penis.
About 1-2 hours—longer if your child is having a more complex procedure
The surgery is usually done in an outpatient setting. Your child will not need to stay in the hospital overnight.
Your child will not feel any pain during surgery. Medication will be given after the procedure to manage pain.
The staff will monitor your child and give him pain medication as needed.
During your stay, the hospital staff will take steps to reduce your child's chance of infection such as:
There are also steps you can take to reduce your child's chances of infection such as:
When your child returns home, do the following to help ensure a smooth recovery:
After arriving home, contact the doctor if any of the following occurs:
In case of an emergency, call for emergency medical services right away.
American Urological Association
Healthy Children—American Academy of Pediatrics
Canadian Urological Association
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.
Last reviewed May 2015 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
Copyright © 2012 EBSCO Publishing All rights reserved.
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