Corporeal Plication for the Treatment of Congenital Penile Curvature

No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Feb 2003Corporeal Plication for the Treatment of Congenital Penile Curvature GARY W. CHIEN and SHERIF R. ABOSEIF GARY W. CHIENGARY W. CHIEN and SHERIF R. ABOSEIFSHERIF R. ABOSEIF View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)63962-6AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We evaluated the long-term outcome, effectiveness and patient satisfaction of corporeal plication for the correction of congenital penile curvature. Materials and Methods: A total of 25 patients with congenital penile curvature were included in the study. Mean age was 39 years (range 15 to 45). Patients with Peyronie's disease, and/or chordee associated with hypospadias or evidence of erectile dysfunction were excluded from analysis. All procedures were done on an outpatient basis using local anesthesia. The technique of corporeal plication consists of placing longitudinal plication sutures of 2-zero braided polyester on the opposing side of curvature until it is corrected during artificially induced erection. A standardized questionnaire was then completed via telephone interview to assess results as well as the patient satisfaction rate. Results: A total of 22 patients were available for evaluation. Successful results at up to 3½ years (range 1 to 42 months, mean 18) of followup were achieved in 21 of the 22 patients (95%). Success was defined as the correction of curvature and a patient satisfaction rate of 75% or greater. Curvature was ventral in 20 cases, dorsal in 2 and left lateral in 3. Shortening of the penis after surgery was noted by 4 patients (18%), of whom 3 nevertheless had a satisfaction rate of 75% or greater. In 2 patients postoperative hematoma resolved spontaneously. Mean operative time was 50 minutes and 22 of the 25 patients (88%) received local anesthesia. Conclusions: Corporeal plication is a simple, minimally invasive surgical procedure that proved to be effective for congenital curvature of the penis compared with other, more extensive penile reconstruction surgery. References 1 : Peyronie's disease: an update. In: . London: Remedica Publishing Ltd.1999: 34. Google Scholar 2 : Congenital penile angulation. Br J Urol1987; 60: 264. Google Scholar 3 : Hypospadias. In: . Philadelphia: W. B. Saunders Co.1998: 2099. Google Scholar 4 : An operation for the cure of certain cases of plastic induration (Peyronie's disease) of the penis. J Urol1947; 57: 552. Link, Google Scholar 5 : Congenital curvature of the phallus: report of three cases with description of corrective operation. J Urol1965; 93: 230. Link, Google Scholar 6 : The Nesbit operation for Peyronie's disease: 16-year experience. J Urol1995; 154: 1362. Link, Google Scholar 7 : The Nesbit operation for Peyronie's disease: an analysis of the failures. BJU Int2001; 87: 658. Google Scholar 8 : Modified coporoplasty for penile curvature: 10 years' experience. Urology1994; 44: 419. Google Scholar 9 : Results of surgical treatment for abnormal penile curvature: Peyronie's disease and congenital deviation by modified Nesbit plication (tunical shaving and plication). J Urol1997; 157: 1288. Link, Google Scholar 10 : Modified corporoplasty for penile curvature: long-term results and patient satisfaction. J Urol1999; 162: 2006. Link, Google Scholar 11 : Modified corporoplasty for the treatment of penile curvature. J Urol1990; 143: 80. Link, Google Scholar 12 : New surgical treatment for Peyronie's disease. Urology1985; 25: 582. Google Scholar 13 : The correction of congenital penile curvature in young men. Br J Urol1998; 81: 895. Google Scholar 14 : Corporal plication for penile curvature caused by Peyronie's disease: the patients' perspective. BJU Int2001; 87: 352. Google Scholar 15 : Modified plication of the tunica albuginea in treating congenital penile curvature. BJU Int2001; 88: 236. Google Scholar 16 : Correction of penile curvature using the 16-dot plication technique: a review of 132 patients. J Urol2002; 167: 2066. Link, Google Scholar From the Department of Urology, Kaiser Permanente Medical Center, Los Angeles, California© 2003 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byNyirády P, Kelemen Z, Bánfi G, Rusz A, Majoros A and Romics I (2018) Management of Congenital Penile CurvatureJournal of Urology, VOL. 179, NO. 4, (1495-1498), Online publication date: 1-Apr-2008. Volume 169Issue 2February 2003Page: 599-602 Advertisement Copyright & Permissions© 2003 by American Urological Association, Inc.Keywordspenisminimally invasiveabnormalitiesquestionnairessurgical proceduresMetricsAuthor Information GARY W. CHIEN More articles by this author SHERIF R. ABOSEIF More articles by this author Expand All Advertisement PDF downloadLoading ...