[Tunica plication with horizontal incisions of the tunica albuginea in the treatment of congenital penile deviations].
OBJECTIVE
The Schroeder-Essed plication procedure is a standard technique for the correction of penile curvature. In a retrospective analysis we compared functional results and quality of life of the original technique with inverted sutures as described by Schroeder-Essed and our slight modification consisting of horizontal incisions into the tunica albuginea.


METHODS
A total of 26 patients with congenital penile deviation were treated, 11 by the original Schroeder-Essed plication with inverted sutures and 15 using the described modification. In the modified technique, horizontal and parallel incisions 4 mm - 6 mm apart and about 8 mm - 10 mm long were made through the tunica albuginea. The outer edges of the incisions were then approximated with permanent inverted sutures (Gore-Tex(R) 3-0). Mean age was 21.6 years in the first group and 23.2 years in the second group. The preoperative penile deviation angle was > 25 degrees in all patients without differention between the two groups.


RESULTS
All patients in both groups reported improvement in their quality of life and full ability to engage in sexual intercourse. A total of 9 patients (88 %) in the first group and 14 patients (93 %) in the second group were satisfied with the cosmetic result, although 10 patients (91 %) in the first and 13 patients (87 %) in the second group complained of penile shortening. Recurrence of deviation was only observed in 2-males in the first group (18 %).


CONCLUSIONS
Our results indicate that this simple modification of the Schroeder-Essed plication offers good functional and cosmetic results. Most patients were satisfied with the penile angle correction results.
van der Horst
C
C
Klinik und Poliklinik für Urologie, Universitätsklinikum Schleswig-Holstein - Campus Kiel, Germany.
Martinez Portillo
F J
FJ
Seif
C
C
Bannowsky
A
A
Bross
S
S
Alken
P
P
Jünemann
K-P
KP
D000328:Adult; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D010411:Penile Induration / Q000601:surgery*; D010413:Penis / Q000002:abnormalities* / Q000601:surgery*; D011138:Polytetrafluoroethylene; D011788:Quality of Life; D013536:Suture Techniques; D013537:Sutures
D011138:Polytetrafluoroethylene