AUTHOR=Moscardi Paulo R. M., Gosalbez Rafael, Castellan Miguel Alfedo TITLE=Management of High-Grade Penile Curvature Associated With Hypospadias in Children JOURNAL=Frontiers in Pediatrics VOLUME=5 YEAR=2017 URL=https://www.frontiersin.org/articles/10.3389/fped.2017.00189 DOI=10.3389/fped.2017.00189 ISSN=2296-2360 ABSTRACT=Penile curvature is a frequent feature associated with hypospadias with also a great variability of severity among each patient. While the low-grade curvature (<30°) can be relatively easily corrected by simple techniques like penile degloving and dorsal plication, severe cases often demand more complex maneuvers to manage it. A great number of surgical techniques have been developed to adequately correct curvatures greater than 30°; however, each one of them should be individualized to different patients and local conditions encountered. In this article, we will review the evaluation of the pediatric patient with penile curvature associated with hypospadias with a special attention to high-grade cases, their management, indications for surgical treatment, and several surgical options for their definitive treatment.