185 Surgical Management and Outcomes of Congenital Chordee in Adults

Abstract

The estimated incidence of congenital chordee is between 4 and 10%, and a contemporary hypospadias case series report 1 in 9.5 hypospadias repair had chordee without hypospadias.1 We do not know the true incidence of unrecognized congenital chordee, and it is often only recognized in early adulthood with either troubles of intromission or recognition of an issue via other means (e.g. viewing pornography). We sought to describe a unique cohort of young adult patients with congenital chordee, the surgical intervention for correction of curvature, and the clinical outcomes. We performed a retrospective review of a single surgeon’s experience from 2010 to 2015. Surgical intervention included artificial erection with documented degree/direction of curvature, and a “Lue procedure” type of plication was performed.2, 3 We excluded patients with palpable plaques consistent with Peyronie’s disease and patients with a history of penile trauma. We defined successful surgical intervention as the ability to have sexual intercourse and patient reported straight erection. Descriptive statistics were employed to describe the cohort using Stata 2012®.