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Incisional corporoplasty for the correction of congenital penile curvature: a review of two suturing techniques

Abstract

This retrospective study was designed to evaluate the surgical outcome of correction of congenital penile curvature, via multiple vertical incisions in the tunica albuginea using two different types of suture material, simple inverted 2-0 PDS sutures versus Proline 2-0 suture followed by closure with 3-0 vicryl. The study included 45 men with congenital penile curvature and surgeries were performed in four general hospitals. Patients were divided into two groups; Group A (n=24) included patients undergoing penile curvature correction using 2-0 PDS sutures; and Group B (n=21) patients undergoing the same procedure by placing an inverted Proline 2-0 suture in the middle of the suture line and completing the closure of the incision line with 3-0 vicryl. The procedures straightened the penile shaft in all cases but a degree of curvature recurred in three cases (all Group A). No operative or postoperative complications occurred and no reoperations were needed. Four patients complained of penile shortening (all Group A). No recurrence was observed in the proline group (difference not statistically significant). Horizontal plication after vertical corporal incisions is safe and effective in the treatment for congenital penile curvature without hypospadias. We advise avoiding overcorrection to prevent penile shortening.

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References

  1. Yachia D, Beyar M, Aridogan IA, Dascalu S . The incidence of congenital penile curvature. J Urol 1993; 150: 1478–1479.

    Article  CAS  Google Scholar 

  2. Nesbit RM . Congenital curvature of the phallus: report of three cases with description of corrective operation. J Urol 1965; 93: 230.

    Article  CAS  Google Scholar 

  3. Ralph DJ, Al-Akraa M, Pryor JP . The Nesbit operation for Peyronie's disease: 16-year experience. J Urol 1995; 154: 1362–1363.

    Article  CAS  Google Scholar 

  4. Kelami A . Congenital penile deviation and its treatment with the Nesbit–Kelami technique. Br J Urol 1987; 60: 261–263.

    Article  CAS  Google Scholar 

  5. Richter S, Shalev M, Nissenkorn I . Correction of congenital or acquired penile curvature through a simple corporoplication technique. Int J Impot Res 1996; 8: 255–258.

    CAS  PubMed  Google Scholar 

  6. Baskin LS, Lue TF . The correction of congenital penile curvature in young men. Br J Urol 1998; 81: 895–899.

    Article  CAS  Google Scholar 

  7. Yachia D . Modified corporoplasty for the treatment of penile curvature. J Urol 1990; 143: 80–82.

    Article  CAS  Google Scholar 

  8. Ghanem H, Ghazy S, El-Meliegy A . Horizontal plication after vertical tunical incisions for the correction of congenital penile curvature. Int J Impot Res 2000; 12: 117–119.

    Article  CAS  Google Scholar 

  9. Gholami SS, Lue TF . Correction of penile curvature using the 16-dot plication technique: a review of 132 patients. J Urol 2002; 167: 2066–2069.

    Article  Google Scholar 

  10. Andrews HO, Al-Akraa M, Pryor JP, Ralph DJ . The Nesbit operation for congenital curvature of the penis. Int J Impot Res 1999; 11: 119–122.

    Article  CAS  Google Scholar 

  11. Yachia D . Our experience with penile deformations: incidence, operative techniques, and results. J Androl 1994; 15 (Suppl): 63S–68S.

    PubMed  Google Scholar 

  12. Devine Jr CJ, Horton CE . Surgical treatment of Peyronie's disease with a dermal graft. J Urol 1974; 111: 44–49.

    Article  Google Scholar 

  13. Ghanem H, Fahmy I, El-Meliegy A . Malleable penile implants without plaque surgery in the treatment of Peyronie's disease. Int J Impot Res 1998; 10: 171–173.

    Article  CAS  Google Scholar 

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Correspondence to R M Shamloul.

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Ghanem, H., Shamloul, R. Incisional corporoplasty for the correction of congenital penile curvature: a review of two suturing techniques. Int J Impot Res 20, 222–225 (2008). https://doi.org/10.1038/sj.ijir.3901617

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  • DOI: https://doi.org/10.1038/sj.ijir.3901617

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