Hypospadias Surgery Update; Current Trends in the Correction of Penile Curvature

Submit Manuscript | http://medcraveonline.com MOJ Surg 2015, 2(2): 00012 reached an agreement in the treatment of penile curvatures in1999 as a result of a large survey [5]. Findings indicate that “significant chordee” is clinically defined as curvature greater than 20 degrees, in that 75% of respondents said they would proceed with further intervention. Placement of plicating sutures was the most common therapy chosen for 20 degrees chordee, with 50% of respondents electing this approach. Consensus was reached at 30 degrees chordee, with greater than 99% intervening at this degree of curvature. At 30 degrees curvature, 48% used an incisional Nesbit procedure. As the degree of curvature increased, division or mobilization of the urethral plate became the most common intervention. With 50 degrees chordee, urethral plate manipulation was used 34% of the time [6].