The incurvation of the penis in hypospadias is caused by the shortening of the fibrous tissue which in this malformation replaces the corpus spongiosum. There is always in this location a firm fibrous band which, because it is nondistensible, causes the chordee.
A number of plastic operations—some of them more or less successful—have been devised for straightening the penis. But the weak point in all of them is the tendency to reformation of scar tissue at the seat of operation—in many cases this scar tissue causing a return of the chordee after the wound heals.
I believe that the method here explained offers the best solution of the problem. By this method the grafts, when healing occurs, take the place of the scar tissue that in a greater or less degree forms in all plastic operations.
More than a year ago I heard Colonel Kellar, at Walter Reed Hospital, read
Hagner FR. A NEW METHOD FOR STRAIGHTENING THE PENIS IN HYPOSPADIAS. JAMA. 1932;99(2):116. doi:10.1001/jama.1932.27410540003009b
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