Why is this procedure done?
Chordee is a birth defect of the penis. With this defect, the penis curves downward when it becomes erect. Chordee repair is done on a male child to straighten the penis and make the stream for urinating go in the right direction. ‚
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What will the results be?
When healed, the penis should be in a natural position and with healthy function. ‚
What happens before the procedure?
Your doctor will take your childs history. Talk to the doctor about: ‚
- All the drugs your child is taking. Be sure to include all prescription and over-the-counter (OTC) drugs, and herbal supplements. Tell the doctor about any drug allergy. Bring a list of drugs your child takes with you.
- Any bleeding problems. Be sure to tell the doctor if you are giving your child any drugs that may cause bleeding. Some examples are Coumadin ‚ ®, ibuprofen, Aleve ‚ ® (naproxen), or aspirin. Certain vitamins and herbs, such as garlic and fish oil, may also add to the risk for bleeding. You may need to stop these drugs as well. Talk to your doctor about all your drugs.
The doctor will do an exam and may order lab tests. The doctor may cause a fake erection to look at the curve of the penis. ‚
What happens during the procedure?
- Once your child is in the operating room, the staff will put an I.V. in your childs arm to give fluids and drugs. Your son may be given a drug to help him sleep. The drugs will also help your son stay pain free during the surgery.
- Sometimes, the doctor will give your child a special drug to make them numb for the surgery. Other times, your child is completely asleep.
- The doctor may fix the penis a few different ways. Tight, shortened foreskin may be released. Extra skin on the longer side may be sutured with stitches. If the tube that connects the bladder outside the body is short, the lining of the tube may need to be cut.
- The doctor makes a fake erection after the surgery to see if the penis is straight. The doctor then places bandages around the penis and a catheter to collect urine from your child's penis. The chordee repair procedure will take about 1 to 2 hours.
What happens after the procedure?
Your child will go to the Recovery Room and the staff will watch your child closely. The doctor may want to see how well your child is passing urine after the procedure. The doctor will give your child a drug to ease pain. Your child will be able to go home a few hours after the procedure. ‚
What care is needed at home?
- Ask your doctor what you need to do when you go home. Make sure you ask questions if you do not understand what the doctor says you need to do to care for your child.
- Learn how to take care of your childs catheter if there is one.
- Talk to your doctor about how to care for your son's cut site. Ask your doctor about:
- When you should change his bandages
- When your son may take a bath or shower
- If your son needs to be careful with lifting things over 10 pounds
- When your son may go back to his normal activities like school or daycare
- Carry your child so that he is supported under his behind. No pressure should be placed on his penis area. Do not carry your child on your hips.
- Do not let your child use straddle toys like bouncers, bicycles, tricycles, or rocking horses for at least 3 to 4 weeks.
- Your child may sit in an infant seat or car seat. Strollers or high chairs are also safe for your child.
- Your child may ride in the car, take walks as tolerated, and walk up and down stairs.
- Be sure to wash your hands before and after touching your child's wound or dressing.
What follow-up care is needed?
The doctor may ask you to make visits to the office to check on your childs progress. Be sure to keep these visits. ‚
What problems could happen?
- Shortened penis
- Bleeding
- Need for another operation
- Infection
- Psychological effects like trauma
- Scar tissue and adhesions in bladder opening or urethra that drains urine
Consumer Information Use and Disclaimer
This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚
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Copyright ‚ © 2015 Clinical Drug Information, LLC and Lexi-Comp, Inc. ‚