title: Dermal grafts for correction of severe chordee associated with hypospadias.
abstract: We report on 24 patients with hypospadias and severe chordee that could not be straightened with conventional techniques. We used small dermal grafts to augment the ventral tunica albuginea, which resulted in a completely straight, normal appearing erection in all patients. Subsequent urethroplasty was not complicated by the presence of the dermal graft. This procedure is technically straightforward and consistently results in a completely straight penis. Although required only rarely in hypospadias surgery, we recommend the dermal graft technique of tunica albuginea augmentation for cases of refractory chordee.
authors.affiliation: Department of Urology, James Buchanan Brady Urological Institute, Johns Hopkins Hospital, Baltimore, Maryland 21205.
authors.forename: C E
authors.initials: CE
authors.lastname: Horton
authors.forename: J P
authors.initials: JP
authors.lastname: Gearhart
authors.forename: R D
authors.initials: RD
authors.lastname: Jeffs
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000473:pathology / Q000601:surgery*; D007223:Infant; D008297:Male; D008722:Methods; D010413:Penis / Q000601:surgery; D016038:Skin Transplantation