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Questions posted in the
The Urology Forum have been answered by urologists from Henry Ford Health System and by Dr. Kevin Pho.
Question Title: corporal dysproportion with dorsal chordeeForum: The Urology Forum
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I posted a question about this a few months ago, but not all of my questions were answered concerning my son's condition. My son was diagnosed with corporal dysproportion with dorsal chordee at the age of 3 months. He is now 8 months. The urologist said he would perform a Nesbitt penile plication at around the age of 1. In my last post, I received good information about what this problem is, but I have some other questions to help us decide how to proceed. Is the Nesbitt surgery our only alternative? Can a boy ever outgrow this condition? What if we do nothing? What is the best age to do the surgery? How much discomfort will he have afterwards and what is recovery like? Is there much of a hospital stay? Any scarring? Would you recommend telling our son when he is older that he had this procedure done or keeping it from him? Thank you. Amanda
= Dear Amanda Thanks for your further questions. These questions are should be posed to the operating urologist because treatment plans can vary. The surgery is elective and is not completely necessary unless your son’s penis while erect is severely curved, to the point of not being able to obtain penetration or is to painful for him or his partner. The surgery can be postponed until he old enough for him ( self image ) or his partner to ask for something to be done. If you are considering having it repaired in childhood, hypospadius authors say between 6 and 15 months. The closer to the later, the more active he will want to be during the recovery period. This could possibly compromise his repair if he should accidentally “ bump” this area. Surgery is the only treatment of which I am aware of which produces good results. At our institution this procedure is performed as an outpatient. Mild discomfort for the first few days, relieved by oral analgesics is the usual experience following surgery. The incision is usually performed via a circumcision incision and closed with dissolvable sutures. I would certainly tell your son in case his son is born with a similar problem, he maybe able to relate better. More individualized care is available at the Henry Ford Hospital and its urban campuses by calling (1 800 653 6568). We can also arrange local accommodations through this number if this is your need. Please bring any physicians’ notes and lab test results that you may be able to obtain. These will help us greatly. This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.
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