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Chordee penis, why you should correct it by the age of 2 years. Chordee is a congenital condition characterized by an abnormal curvature of the penis, often noticeable during erections. It can occur independently or alongside other conditions such as hypospadias, where the urinary opening is located on the underside of the penis. Here’s a brief overview for our pediatric surgery clinic in Kandy: Understanding Chordee Chordee is a condition where the penis curves sharply, either upward or downward, particularly at the glans (tip). It affects approximately 1 in 200 male births and is typically diagnosed shortly after birth through physical examination. Symptoms: The primary symptom is the curvature of the penis, which may not be apparent until an erection occurs. Other potential symptoms include difficulty urinating, especially if hypospadias is present, and pain during erections or sexual activity in older children and adults. Causes: The exact cause of chordee is not fully understood but may involve abnormal tissue development during fetal growth. Factors such as skin tethering or scar tissue from previous surgeries can also contribute to the curvature. Diagnosis Physical Examination: Pediatricians can often diagnose chordee by examining the penis for curvature at birth. In cases of associated hypospadias, further evaluation may be necessary. Erection Test: In some instances, a saline solution may be injected to induce an erection, allowing doctors to assess the degree of curvature accurately. Treatment Options The only effective treatment for chordee is surgical intervention. Ideally, surgery should be performed before the child reaches 2 years of age to ensure optimal outcomes. The procedure involves straightening the penis and correcting any associated urethral abnormalities. Post-Surgery Care: After surgery, a catheter may be placed for about a week to allow for proper healing. Parents should monitor for any signs of complications such as infection or excessive swelling. Importance of Early Intervention Early diagnosis and treatment are crucial to prevent potential complications later in life, including difficulties with urination and sexual function. If you suspect your child may have chordee or if it has been diagnosed, please consult with our pediatric surgeon for further evaluation and management options. For any concerns or to schedule an appointment, feel free to contact our clinic. www.paediatricsurgery.clinic.lk 0777 567 566