[Surgical treatment of penile curvature: primum non nocere].
OBJECTIVE
This study was designed to evaluate the medium-term results of surgical treatment of penile curvature by tunica albuginea plication of tunica albuginea resection-prosthetic graft.


METHODS
A retrospective study of 45 patients operated for penile curvature was performed: 38 were treated by tunica albuginea plication and 7 were treated by tunica albuginea resection-graft. Each patient returned for early (1 month), medium-term (3 months-1 year) and long-term (total mean follow-up of 34 months) postoperative review.


RESULTS
Patients operated by plication were satisfied in 88.6% of cases. Significant shortening of the penis was observed in 52% of cases and one in five patients complained of disabling shortening; other complications were rare. The global satisfaction rate among patients operated by resection-graft was 29%, with 57% of residual curvature and 15% of postoperative erectile dysfunction.


CONCLUSIONS
Tunica albuginea plication is a simple and effective technique with low morbidity for the treatment of penile curvature. Tunica albuginea resection followed by Goretex graft gives unsatisfactory results and is associated with considerable morbidity in the treatment of complex penile curvature.
Camerlo
Antoine
A
Service d'Urologie, Hôpital Nord Marseille, France. antoinecamerlo@hotmail.com
Ribykowsky
Stanislas
S
Tomatis
Laurent
L
Bastide
Cyrille
C
Ragni
Evelyne
E
Rossi
Dominique
D
D000293:Adolescent; D000328:Adult; D000368:Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000002:abnormalities* / Q000601:surgery*; D012189:Retrospective Studies; D013997:Time Factors; D013521:Urologic Surgical Procedures, Male / Q000379:methods