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Encyclopedia > Chordee
Chordee
Classification & external resources
A human penis with chordee in both flaccid and fully erect states.
ICD-10 N48.8 (ILDS N48.83), Q54.4
ICD-9 752.63

Chordee is a condition in which the penis curves downward (that is, in a ventral direction)or upward. The curvature is usually most obvious during erection, but resistance to straightening is often apparent in the flaccid state as well. In many cases but not all, chordee is associated with hypospadias. Image File history File links Question_book-3. ... Image File history File links Penis. ... The International Statistical Classification of Diseases and Related Health Problems (most commonly known by the abbreviation ICD) provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. ... The International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) is a coding of diseases and signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or diseases, as classified by the World Health Organization (WHO). ... // N00-N39 - Diseases of the genitourinary system: urinary system (N00-N08) Glomerular diseases Prefixes: .2 Diffuse membranous glomerulonephritis (N00) Acute nephritic syndrome (N01) Rapidly progressive nephritic syndrome (N02) Recurrent and persistent haematuria (N03) Chronic nephritic syndrome (N04) Nephrotic syndrome Lipoid nephrosis (N05) Unspecified nephritic syndrome (N06) Isolated proteinuria with specified... The International League of Dermatological Societies (ILDS) is a non-governmental organization affiliated with the World Health Organization. ... // Q00-Q99 - Congenital malformations, deformations and chromosomal abnormalities (Q00-Q07) Congenital malformations of the nervous system (Q00) Anencephaly and similar malformations (Q01) Encephalocele (Q02) Microcephaly (Q03) Congenital hydrocephalus (Q04) Other congenital malformations of brain (Q05) Spina bifida (Q06) Other congenital malformations of spinal cord (Q07) Other congenital malformations of nervous... The International Statistical Classification of Diseases and Related Health Problems (most commonly known by the abbreviation ICD) provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. ... The following is a list of codes for International Statistical Classification of Diseases and Related Health Problems. ... The penis (plural penises, penes) is an external male sexual organ. ... In zootomy, several terms are used to describe the location of organs and other structures in the body of bilateral animals. ... The erection of the penis, clitoris or a nipple is its enlarged and firm state. ... Hypospadias is a birth defect of the urethra in the male that involves an abnormally placed urethral meatus (opening). ...

Contents

Presentation

It is usually considered a congenital malformation of unknown cause. Since at an early stage of fetal development the penis is curved downward, it has been proposed that chordee results from an arrest of penile development at that stage. A congenital disorder is a medical condition that is present at birth. ...


The curvature of a chordee can involve

  1. tethering of the skin with urethra and corpora of normal size;
  2. curvature induced by fibrosis and contracture of the fascial tissue (Buck's fascia or dartos) surrounding the urethra;
  3. disproportionately large corpora in relation to the urethral length without other demonstrable abnormality of either; or
  4. a short, fibrotic urethra that tethers the penis downward (the least common type).

Severe degrees of chordee are usually associated with hypospadias, but mild degrees of curvature may occur in many otherwise normal males. When the curved penis is small and accompanied by hypospadias, deficiency of prenatal androgen effect can be inferred. [[Image: Example.jpg In anatomy, the urethra is a tube which connects the urinary bladder to the outside of the body. ... In law a corpus (Latin: body) is a set, a collection of documents and sources. ... Fibrosis is the formation or development of excess fibrous connective tissue in an organ or tissue as a reparative or reactive process, as opposed to a formation of fibrous tissue as a normal constituent of an organ or tissue. ... Fascia is specialized connective tissue layer which surrounds muscles, bones, and joints, providing support and protection and giving structure to the body. ... Bucks fascia is a layer of deep fascia covering the penis. ... The dartos is a layer of smooth muscular fiber. ... Hypospadias is a birth defect of the urethra in the male that involves an abnormally placed urethral meatus (opening). ...


Treatment

The principal treatment of chordee is surgery in infancy,[1] usually by a pediatric urologist. Pediatric urology is a surgical subspecialty of medicine dealing with the disorders of childrens genitourinary systems. ...


The preferred time for surgery is between the ages of 6 and 18 months, before the child develops castration and body image anxiety.


Correction is usually successful.


References

  1. ^ Braga LH, Pippi Salle JL, Dave S, Bagli DJ, Lorenzo AJ, Khoury AE (2007). "Outcome analysis of severe chordee correction using tunica vaginalis as a flap in boys with proximal hypospadias". J. Urol. 178 (4 Pt 2): 1693–7; discussion 1697. doi:10.1016/j.juro.2007.03.166. PMID 17707021. 

A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ...

External links

Peyronie’s Disease - Recommended Treatment Options The Family Practice Notebook is a medical database focused on family practice. ...


  Results from FactBites:
 
Chordee (447 words)
Chordee is a downward (ventral) curvature of the penis, due to a strand of connective tissue stretched like a cord between the meatus (urethral opening) and glans, creating the "bowstring" effect.
It is often associated with hypospadius, which is a congenital condition where the urethral opening is not at the tip of the penis, but in another location along the ventrum of the shaft.
Chordee can be corrected surgically, but if it is not causing any social or physical problems, you probably do not need to do anything about it.
Intersex Surgery: Chordee Release (137 words)
Chordee release refers to the cutting of the ventral penile skin and connective tissue surrounding it to free and straighten the penis.
For mild chordee where visible is a well-formed penis bent downward by subcutaneous connective tissue may be repaired by releasing some of the inelastic connective tissue on the ventral side of the shaft.
In more severe cases of chordee it is often accompanied by a hypospadias and sometimes by severe under virilization (a perineal “pseudovaginal pouch” and split (bifid) in the scrotum with an undersized penis).
  More results at FactBites »


 
 

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