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Letter to the Editor|Articles in Press

Letter to the Editor reg: “Cooper CS et al., What is the angle of a banana? The difficulty in reliable assessment of hypospadias chordee, Journal of Pediatric Urology, https://doi.org/10.1016/j.jpurol.2023.02.003”

      We read the paper by Cooper et al [

      Cooper CS et al., What is the angle of a banana? The difficulty in reliable assessment of hypospadias chordee, Journal of Pediatric Urology, https://doi.org/10.1016/j.jpurol.2023.02.003.

      ] with interest. They presumed that the penile curvature (PC) in hypospadias is not a discrete angulation, but more often an arc-like curvature (AC), thus comparing it with the curve of a banana! While we agree that the PC may not be a perfect hinge, the point of maximum PC is of definite interest in its correction. In fact most hypospadiologists are interested in the degree and location of angulation than the radian angle subtended by the arc. Thus, measuring radian using Arccalc application may be more of an academic exercise without any practical application in hypospadias surgery.
      • 1.
        The authors have used banana as a prototype of AC and assumed it to be
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      References

      1. Cooper CS et al., What is the angle of a banana? The difficulty in reliable assessment of hypospadias chordee, Journal of Pediatric Urology, https://doi.org/10.1016/j.jpurol.2023.02.003.

        • Bandini M
        • Seculovic S
        • Spiridonescu B
        • et al.
        Prevalence, assessment and surgical correction of penile curvature in hypospadias patients treated at one European referral center: description of the technique and surgical outcomes.
        World J Urol. 2020; 38: 2041-2048
        • Villanueva CA
        Ventral penile curvature estimation using an app.
        J Pediatr Urol. 2020; 16: 437.e1-437.e3
      2. Mosa H, Paul A, Solomon E, et al. How accurate is eyeball measurement of curvature? A tool for hypospadias surgery. J Pediatr Urol, https://doi.org/10.1016/j.jpurol.2022.04.009.

      3. Mosa H, Paul A, Solomon E, et al. Response to commentary on How accurate is eyeball measurement of curvature? A tool for hypospadias surgery. J Pediatr Urol, https://doi.org/10.1016/j.jpurol.2022.05.002.

        • Abbas TO
        Evaluation of penile curvature in patients with hypospadias: gaps in the current practice and future perspectives.
        J Pediatr Urol. 2022; 18: 151-159
        • Villanueva CA
        Goniometer not better than unaided visual inspection at estimating ventral penile curvature on plastic models.
        J Pediatr Urol. 2019; 16: 628-633

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