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TheScientificWorldJOURNAL
Volume 11, Pages 1470-1478
http://dx.doi.org/10.1100/tsw.2011.136
Review Article

Abnormalities of Penile Curvature: Chordee and Penile Torsion

Division of Pediatric Urology, Cohen Children's Medical Center of New York of the North Shore-Long Island Jewish Health System, Long Island, NY, USA

Received 25 June 2011; Accepted 14 July 2011

Academic Editor: Jeffrey Palmer

Copyright © 2011 Sylvia Montag and Lane S. Palmer.

Abstract

Congenital chordee and penile torsion are commonly observed in the presence of hypospadias, but can also be seen in boys with the meatus in its orthotopic position. Varying degrees of penile curvature are observed in 4–10% of males in the absence of hypospadias. Penile torsion can be observed at birth or in older boys who were circumcised at birth. Surgical management of congenital curvature without hypospadias can present a challenge to the pediatric urologist. The most widely used surgical techniques include penile degloving and dorsal plication. This paper will review the current theories for the etiology of penile curvature, discuss the spectrum of severity of congenital chordee and penile torsion, and present varying surgical techniques for the correction of penile curvature in the absence of hypospadias.