Chordee (Pediatric)
Chordee is a condition in which the penis curves downward or upward during an erection due to the abnormal attachment of the penile shaft to the underlying tissues. This condition is often present at birth and can be associated with other genital abnormalities. Chordee can affect children of all ages, but it’s typically diagnosed and addressed earlier, often in infancy or early childhood.
Causes
- Chordee occurs during fetal development when the tissues that anchor the urethra to the penis do not develop normally.
- Chordee is caused by the shortening or tethering of the tissues on the underside of the penis, leading to the curvature.
- Genetic and environmental factors might contribute to the condition.
Symptoms
- The primary symptom of chordee is the downward curvature of the penis during erections.
- Chordee can occur in combination with hypospadias, and the degree of curvature can vary from mild to more pronounced.
Diagnosis
- A pediatric healthcare provider can diagnose chordee through a physical examination of the penis.
- Additional tests might be performed to assess the extent of the curvature and its impact on urination and sexual function.
Treatment
- Treatment for chordee often involves surgical correction.
- Surgery aims to straighten the penis and release any abnormal attachments of the urethra.
- If hypospadias is also present, surgical techniques might involve both chordee correction and hypospadias repair.
Recovery
- After surgery, a period of healing and follow-up appointments will be necessary.
- Careful post-operative care is important to ensure proper healing and prevent complications.
Prognosis
- The prognosis for children who undergo surgical correction of chordee is generally good.
- Successful surgery can improve both urinary and sexual function, as well as the cosmetic appearance of the penis.
If your child has been diagnosed with chordee or if you suspect they might have this condition, it’s important to consult a pediatric urologist or a healthcare provider experienced in pediatric genital conditions. They can provide accurate information, recommend suitable treatment options, and guide you through the process to ensure the best possible health for your child’s genital and urinary development.
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