Corporeal derotation for the management of dorsal penile curvature associated with epispadias or bladder exstrophy

Background: dorsal penile curvature is a common association with epispadias or bladder exstrophy anomaly. The degree of dorsal penile curvature was assessed after artificial erection using a goniometer. Then degloving of the penis. Three to five sutures using non-absorbable suture material were arranged on the either side of corpora cavernosa from the ventral aspect. Preoperative assessment of penile stretch length and urinary continence were reported. Results: twenty-eight cases were operated during the last 10 years to repair epispadias. All cases were repaired using Thiersch Duplay urethroplasty. Thirteen cases had a post repair dorsal penile curvature. Of them three cases had anterior penile epispadias, eight cases had mid penile epispadias and two cases had pino-pubic epispadias. None of the patients had any major associated anomalies. The mean age of dorsal penile curvature repair was 3.5 years (±1.2 years). The mean operative time was 67.3 ±12.5 min. The number of corrective sutures used ranged from 3-5 stitches. Urinary catheters were used in all cases. The mean duration of hospital stay was 2.4 ±1.3 days. No postoperative complications as fistula, recurrence of the dorsal penile curvature developed. Conclusion: Corporal ventral derotation is a simple, safe, and easy technique that can be used to correct a post repair dorsal penile curvature in patients with epispadias. It is associated with an improved penile stretch length.