Chordee

TL;DR: The major technical advances in hypospadias surgery that have improved surgical outcomes are 1) Preservation of the urethral plate, 2) Incision of the URS plate, 3) Dorsal midline plication, 4) Deepithelized urethroplasty dartos flap coverage, and 5) Two stage alternative techniques.

TL;DR: The onlay island flap is a variation of the transverse preputial island flap for hypospadias repair useful in patients without fibrous chordee whose meatus is mid penile or subcoronal and in patients with distal penile hypos pads with deficient ventral skin.

TL;DR: Current international trends in the management of hypospadias are identified and the two-stage repair is most commonly used in proximal hypos padias, while a variety of techniques are used for chordee correction.

TL;DR: A systematic approach is described to correct congenital penile curvature using intraoperative artificial erection, preservation of the urethral plate when possible, tunica albuginea plication to straighten the penis and island flap urethroplasty (onlay and tube) when needed.