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Review
. 2017 Sep 4:5:189.
doi: 10.3389/fped.2017.00189. eCollection 2017.

Management of High-Grade Penile Curvature Associated With Hypospadias in Children

Paulo R M Moscardi  1 , Rafael Gosalbez  1 , Miguel Alfedo Castellan  1
Affiliations
Review

Management of High-Grade Penile Curvature Associated With Hypospadias in Children

Paulo R M Moscardi et al. Front Pediatr. .

Abstract

Penile curvature is a frequent feature associated with hypospadias with also a great variability of severity among each patient. While the low-grade curvature (<30°) can be relatively easily corrected by simple techniques like penile degloving and dorsal plication, severe cases often demand more complex maneuvers to manage it. A great number of surgical techniques have been developed to adequately correct curvatures greater than 30°; however, each one of them should be individualized to different patients and local conditions encountered. In this article, we will review the evaluation of the pediatric patient with penile curvature associated with hypospadias with a special attention to high-grade cases, their management, indications for surgical treatment, and several surgical options for their definitive treatment.

Keywords: children; high-grade curvature; hypospadias; penile curvature; review of literature.

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Figures

Figure 1
Figure 1
Correction of the curvature after dissection of the penile skin and dartos fascia.
Figure 2
Figure 2
12 O’clock dorsal plication (Baskin) to a low-grade curvature.
Figure 3
Figure 3
High-grade penile curvature—(A) urethral plate elevation; (B) measurement of curvature after urethral plate division; (C) corporoplasty with small intestine submucosa (SIS) graft; and (D) artificial erection after corporoplasty.
Figure 4
Figure 4
Stepwise approach for the hypospadias associated with high-grade curvature (12, 16, 26).
See this image and copyright information in PMC

Comment in

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