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Male Sexual Dysfunction
Chordee (Congenital Penile Curvature)
Chordee is a congenital condition characterized by abnormal downward curvature of the penis during erection, caused by a shortened or fibrous band of tissue along the underside of the penile shaft.
85%
Success Rate
Surgical repair in childhood; 4-6 weeks recovery
Duration
Multiple
Treatment Options
3+ Groups
May Affect
What is Chordee (Congenital Penile Curvature)?
Chordee is a congenital condition characterized by abnormal downward curvature of the penis during erection, caused by a shortened or fibrous band of tissue along the underside of the penile shaft.
Prevalence: Affects 0.5-1% of male newborns; often associated with hypospadias
Symptoms and Signs
- •Downward curvature of the erect penis
- •Curvature present since childhood or birth
- •Difficulty with vaginal penetration
- •Foreskin may appear hooded or incomplete
- •Associated hypospadias (urethral opening on underside)
- •Psychological distress about appearance
Causes and Risk Factors
Common Causes
- →Abnormal development of Buck's fascia
- →Shortened corpus spongiosum or urethra
- →Fibrous band (chordee) along ventral shaft
- →Incomplete penile development in utero
- →Associated with hypospadias in many cases
Risk Factors
- ⚠️Family history of hypospadias or chordee
- ⚠️Maternal hormone exposure during pregnancy
- ⚠️Genetic predisposition
- ⚠️Low birth weight
Treatment Options
Expected Outcomes: Excellent surgical outcomes with 85-95% straightening; single procedure effective in most cases
Available Treatments:
- ✓Observation (mild cases without functional impairment)
- ✓Surgical correction (chordee release)
- ✓Tunical plication (shortening the longer side)
- ✓Urethral mobilization or lengthening
- ✓Grafting procedures (severe cases)
- ✓Surgery ideally performed in childhood
Prevention Tips
- →No known prevention; congenital condition
- →Early evaluation by pediatric urologist if curvature noticed
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