Chordee
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| Chordee Classification and external resources | |
| A human penis with chordee in both flaccid and fully erect states. | |
| ICD-10 | N48.8 (ILDS N48.83), Q54.4 |
| ICD-9 | 752.63 |
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Chordee is a condition in which the penis curves downward (that is, in a ventral direction). The curvature is usually most obvious during erection, but resistance to straightening is often apparent in the flaccid state as well. In many cases but not all, chordee is associated with hypospadias.
Presentation
It is usually considered a congenital malformation of unknown cause. Since at an early stage of fetal development the penis is curved downward, it has been proposed that chordee results from an arrest of penile development at that stage.
The curvature of a chordee can involve
- tethering of the skin with urethra and corpora of normal size;
- curvature induced by fibrosis and contracture of the fascial tissue (Buck's fascia or dartos) surrounding the urethra;
- disproportionately large corpora in relation to the urethral length without other demonstrable abnormality of either; or
- a short, fibrotic urethra that tethers the penis downward (the least common type).
Severe degrees of chordee are usually associated with hypospadias, but mild degrees of curvature may occur in many otherwise normal males. When the curved penis is small and accompanied by hypospadias, deficiency of prenatal androgen effect can be inferred.
Treatment
The principal treatment of chordee is surgery in infancy, usually by a pediatric urologist.
The preferred time for surgery is between the ages of 6 and 18 months, before the child develops castration and body image anxiety.
Correction is usually successful.
External links
- URO80 at FPnotebook
Congenital malformations and deformations of genital organs and urinary system (Q50-Q64, 752-753) | |
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| Genital organs (overview) | female: Uterine malformation - Mullerian agenesis - Uterine didelphys - Clitoromegaly
male: Cryptorchidism - Hypospadias - Chordee - Monorchism - Micropenis - Penile agenesis Pseudohermaphroditism |
| Urinary system | kidney/ureter: Renal agenesis/Potter syndrome, Papillorenal syndrome - cystic (Polycystic kidney disease, Meckel syndrome, Multicystic dysplastic kidney) - Ectopic ureter - Horseshoe kidney - Renal ectopia
bladder/urethra: Epispadias - Bladder exstrophy urachus: Urachal cyst |
| See also non-congenital reproductive and urinary conditions (N, 580-629) | |
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
