Residual or Recurrent Chordee after Hypospadias Surgery

Residual or Recurrent Chordee after Hypospadias Surgery

Recently, we published a very important paper in the prestigious international journal “Pediatric Surgery International”. In that paper, through a meta-analysis of previously published data, we assessed the various techniques of correction of chordee in hypospadias, and the success of each technique. We reached some important conclusions

1. Residual or recurrent chordee is common after previous failed hypospadias operations
2. The technique of chordee correction is important
3. Some commonly used techniques of chordee correction have a higher failure rate than others
4. Many surgeons do not objectively measure chordee during the surgery but rely on subjective estimation; this leads to high failure rate of the surgery

There are several techniques of chordee correction. The best technique involves 2 essential components

1. Objective assessment of chordee at each stage of the operation
2. Step-wise protocol during surgery to ensure complete chordee correction