Chordee without hypospadias is an unusual problem in which penile bending exists without apparent hypospadias. Skin tethering is the main factor in some patients, and this can be readily fixed by repositioning the penile skin. Correction of significant chordee in this setting often involves creation of hypospadias to straighten the penis, followed by construction of a new urethra using above mentioned approaches. In other instances, the bent part of the erectile bodies of the penis must be plicated on the opposite side to even out the bend. If the chordee is further compromised by short penile length, incision of the bent part and covering the defect with a graft may be the most appropriate approach.
Penile torsion consists of a rotation of the penis.
This is often seen in association with hypospadias and may be corrected in varying degrees at the time of hypospadias repair. Penile torsion by itself is rarely of functional significance. A dorsal hood foreskin may be observed in newborns in whom hypospadias cannot be easily seen. In these situations, it is best to leave the foreskin intact and reexamine the babies in 6 months. The family may also have some idea by this time if there is any chordee or not.