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External Genital Anomalies in Boys
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==== Congenital penile curvature ==== * '''Referred to as chordee''' * '''Results from disproportionate development of the tunica albuginea of the corporal bodies''' ** '''Not associated with urethral malformation'''§ * '''Most commonly in the ventral direction (as opposed to Peyronie’s which is dorsal curvature), with preserved penile length and typically normal erectile function and rigidity'''§ * '''Commonly associated with hypospadias''' ** Isolated chordee may occur with or without a dorsal hood of prepuce and is commonly associated with a deficiency of the ventral skin * '''Congenital dorsal penile curvature''' may be an isolated condition with or without asymmetrical penile skin or associated with epispadias and a ventral hood of prepuce. * '''Healthy young men usually present between age 18-30 when the abnormal curvature is brought to their attention from their sexual partner''' * '''Treatment is surgical''' and is offered to patients whose congenital penile curvatures significantly interferes with satisfactory sexual relations of the patient or partner. ** Plication is used almost exclusively§
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