Chordee Hypospadias and Penile Torsion Surgery in Babies

Chordee and penile torsion are some commonly occurring problems in baby boys. These are commonly seen to happen together, but they can also occur separately. At ALSA Pakistan, our child surgeon Dr. Muhammad Mohsin performs penile surgery in baby boys to treat chordee, hypospadias, penile torsion, and undescended testicle treatment. All these are different penile birth defects Let’s take a detailed look into these conditions and their treatments;

What is Chordee?

A common complication of hypospadias is the development of a chordee. The penis has a downward curvature called a chordee. The presence or absence of hypospadias is irrelevant to this condition. Chordee is a condition of penile congenital disabilities in baby boys in which the shape of your baby’s penis sharply curves upwards or downwards, appearing bent or curved.

It is a congenital condition, so your baby can be born with it. It can be noticed at the time of birth and must be corrected promptly. At ALSA, Dr. Muhammad Mohsin performs penile surgery in baby boys for chordee repair in Pakistan.

What is Chordee?

The exact cause of the chordee is not known. The most common reason is that it occurs as a result of abnormal development of the penis in the womb. Skin defects, penis abnormality, or scar tissue can also lead to the development of chordee even later in life. Chordee can occur as a stand-alone medical condition or in association with hypospadias and penile torsion. Additional techniques for penile surgery in baby boys are used to treat chordee with hypospadias and penile torsion.

Penile surgery in baby boys for chordee
repair in Pakistan by Dr. Muhammad Mohsin

Surgery to treat chordee is a standard and remarkably successful choice. Surgery is preferably performed before age 2; the ideal time is between 4 to 8 months because the treatment of chordee in older boys or adults can be more complicated and may require multiple surgical procedures.
The procedure takes about 60-120 minutes, depending upon the severity of the chordee, and commonly the child can go home the same day. The surgery aims to straighten the penis. Any excess skin is removed during the surgery; it is called degloving. We perform an erection test using saline solution to ensure the penis is no longer curve. Usually, the baby has a very smooth recovery after chordee surgery and can have a fully functional, straight, and normal penis within a few days.

Penile torsion in newborns – One of a Penile Birth Defects

It is a condition in which the penis of the baby appears to be rotated or twisted almost always towards the left (counterclockwise). Male infants with this defect are born with it, which is relatively common. It can range from mild rotation to severe and occurs in about 1 in 80 newborn babies.
It occurs when the skin and tissues of the penis do not develop properly in the womb; however, the specific cause of penile torsion is unknown. Usually, penile torsion does not cause other symptoms, especially when the rotation is less than 90 degrees.

Surgery for Penile Torsion

Surgery for penile torsion is needed when the rotation of the penis is more than 90 degrees. Different techniques are used to treat penile torsion. The most common technique is called degloving, in which we perform subsequent repositioning of penile skin to treat the rotation of the penis. Penile torsion surgery is ideally done at the age of 6-18 months.

Penile surgery in baby boys is generally very successful, mainly when performed at the right time. If the surgery is delayed until adulthood, it is still effective, but multiple surgeries can be required. At ALSA Pakistan, our child surgeon Dr. Muhammad Mohsin is highly experienced in performing penile surgery in baby boys to treat different types of defects.  

Penile Torsion Surgery Cost in Pakistan

When it comes to providing surgical therapy for Chordee or improper urinary openings in boys, ALSA Pakistan is unparalleled in its ability to do so under one roof. We have state-of-the-art infrastructure, a team of highly trained medical professionals, and cutting-edge technology. All of which contribute to consistently exceptional outcomes for our patients. The cost for penile torsion surgery in Pakistan ranges from 200k to 250k PKR. 

When performed correctly, penile surgery in baby boys to treat penile birth defects has a high success rate. A procedure till maturity can still be successful with this method. Our pediatric surgeon, Dr. Muhammad Mohsin, has vast experience performing penile surgery in baby boys to correct various conditions. Chordee surgery is also a common and fruitful choice for patients at ALSA, a Pakistani medical facility.

Frequently Asked Questions

What are the causes of Chordee?

Most cases are due to a penis that does not usually form during pregnancy. However, Chordee can also appear in adulthood due to skin malformations, penile abnormalities, or scar tissue.

What happens after the surgery?

When performed at the proper age, penile surgery in baby boys has a very high success rate. After the surgery, your baby has a normal, straight, and highly functional penis.

What is the right time for my baby to have surgery?

The ideal age for the surgery is between 4 to 8 months. However, your baby can have penile torsion surgery at the age of 2. 

What is chordee surgery?

Penile torsion or chordee surgery is performed to correct the opening of the urethra. It is usually a congenital disorder in baby boys.

What can you expect during the surgery?

During the penile torsion surgery, your baby will be under general anesthesia. Therefore, he will be sleepy and will not be in pain.