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DERMAL PATCH GRAFT CORRECTION OF SEVERE CHORDEE WITHOUT
URETHRAL DIVISION IN BOYS WITHOUT HYPOSPADIAS
Mark ZAONTZ and Gregory DEAN
Virtua Health System, Surgery, Voorhees, USA
PURPOSE
Historically, the standard of care to correct severe ventral penile curvature in the rare instance of a normal urethra and
orthotopic meatus is either via dorsal plication and/or division of the urethral plate in a staged fashion. This video is
designed to show how the authors correct severe ventral penile chordee in the absence of hypospadias with a normal
urethra via urethral mobilization and dermal patch graft thus avoiding urethral division.
MATERIAL AND METHODS
This video shows an 18 year old patient who presented with severe ventral chordee with an orthotopic meatus corrected
initially via dorsal plication. The same degree of chordee recurred 6 months later. The video herein demonstrates our
technique to correct severe ventral penile curvature in one stage by urethral mobiilzation and dermal patch graft
orthoplasty without the need for urethral division successfully.
RESULTS
Three boys ages 10 -18 years old underwent successful correction of severe ventral chordee in the absence of
hypospadias. Follow-up ranged from 11 months to 2 years (mean 1.5 years). All 3 boys have strong straight erections
and a normal strong well directed urinary stream. No complications have been noted to date.
CONCLUSIONS
Extensive urethral mobilization with dermal patch graft can successfully correct severe ventral chordee without urethral
division in a single operative setting in boys without hypospadias and normal urethras. Further experience and follow-up
will determine if this technique stands the test of time.