A modified corporoplasty for treating congenital penile curvature and reducing the incidence of palpable indurations.
OBJECTIVE
To reduce the incidence of postoperative palpable induration after treating congenital penile curvature, using a modified corporoplasty technique.


METHODS
In a retrospective unrandomized clinical trial, 105 patients with a congenital penile angulation of >30 degrees and for whom coitus was therefore difficult or impossible, underwent surgical correction. Of the 105 patients, 55 underwent the Nesbit-Kelâmi technique, whereby a diamond-shaped section of the tunica albuginea is excised and the defect closed with an interrupted suture. The remaining 50 patients underwent the modified corporoplasty, the edges of the tunica albuginea being brought together with a continuous, blood-tight, intratunical suture, and the end knots buried.


RESULTS
The early results (<6 months) were comparable in both groups, with correction of the curvature in 94% and 95%, and postoperative complications in 14% and 15%. There were fewer postoperative haematomas in those undergoing modified corporoplasty (6% vs 18%). The late results (>6 months) also showed that these patients developed fewer palpable indurations (16% vs 44%).


CONCLUSIONS
The modified corporoplasty reduced the incidence of postoperative haematoma and late complications (e.g. palpable indurations) after the surgical correction of congenital penile curvature.
Popken
G
G
Department of Urology, University Hospital Freiburg, Germany.
Wetterauer
U
U
Schultze-Seemann
W
W
Deckart
A B
AB
Sommerkamp
H
H
D000293:Adolescent; D000328:Adult; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D010410:Penile Erection / Q000502:physiology; D010411:Penile Induration / Q000517:prevention & control / Q000601:surgery; D010413:Penis / Q000002:abnormalities* / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome