title: Our experience in chordee without hypospadias: results of 102 cases.
abstract: OBJECTIVE
  We present long-term surgical experience of 102 chordee without hypospadias cases.
  
  
  METHODS
  This retrospective study included 102 chordee without hypospadias cases who were surgically treated between 1999 and 2012. Range of patients' age was from 1 month to 31 years. Seventy-two patients were adult, and 30 were children. Mean duration of follow up was 49.3 months. The patients were categorized into 4 groups including skin tethering (group 1), fibrotic dartos and Buck's fasciae ( group 2), corporeal disproportion ( group 3) and urethral tethering (group 4) with the aid of intraoperative artificial erection, according to the structural defect.
  
  
  RESULTS
  Forty patients (group 1) were successfully treated with penile degloving. Except 3 (10%) of 31 (group 2) cases, extensive resection of the fibrotic dartos and Buck's fascia was needed to straighten the penis. Corporeal disproportion was identified in 27 patients of whom 2 cases (7%) had complica­tions. One of them developed urethrocutaneous fistula, and he was treated with buccal mucosal graft urethroplasty successfully. In other one, chordee persisted after two years, and we had to do Nesbit wedge resection after tunica albuginea plication to achieve penile straightening at the same session; otherwise we avoid tunica albuginea excision or incision. Overall 96 (94%) of 102 patients were suc­cessfully treated at first operation.
  
  
  CONCLUSIONS
  We concluded that tunica albuginea plication is very effective for both prepubertal and postpubertal period and also in management of recurrence. We believe that, in experienced hands, early surgical correction can be done successfully in this condition.
authors.affiliation: Department of Urology, Istanbul Medipol University, Istanbul, Turkey. dremrecan@hotmail.com.
authors.forename: Emre Can
authors.initials: EC
authors.lastname: Polat
authors.affiliation: Department of Urology, Haydarpasa Numune Research and Training Hospital, Istanbul, Turkey.
authors.forename: Mehmet Remzi
authors.initials: MR
authors.lastname: Erdem
authors.affiliation: Urology Clinic, Diyarbakir, Research and Training Hospital, Diyarbakir, Turkey.
authors.forename: Ramazan
authors.initials: R
authors.lastname: Topaktas
authors.affiliation: Urology Clinic, Idil Government Hospital, Sirnak, Turkey.
authors.forename: Cevper
authors.initials: C
authors.lastname: Ersoz
authors.affiliation: Department of Urology, Bezmialem Vakif University, Istanbul, Turkey.
authors.forename: Sinasi Yavuz
authors.initials: SY
authors.lastname: Onol
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D017577:Cutaneous Fistula / Q000209:etiology* / Q000601:surgery; D000071938:Fasciotomy; D006801:Humans; D007223:Infant; D008297:Male; D010413:Penis / Q000002:abnormalities* / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D012086:Reoperation; D012189:Retrospective Studies; D016896:Treatment Outcome; D014522:Urethral Diseases / Q000209:etiology* / Q000601:surgery; D014548:Urinary Fistula / Q000209:etiology* / Q000601:surgery; D055815:Young Adult