Ventral plication for repair of pediatric dorsal penile curvature.
OBJECTIVE
To present the results of ventral plication for the repair of dorsal curvature.


METHODS
A total of 33 patients (mean age 38 months, range 7 months to 15 years) with a dorsal curvature of >30 degrees degrees underwent ventral plication. A subcoronal incision was performed, followed by degloving of the skin to the penile base. The point of maximal curvature was noted and marked during an erection test. Two polypropylene 5-0 plication sutures were placed in the tunica albuginea of both corporeal bodies, just lateral and adjacent to the corpus spongiosum. Proper alignment and a straight penis were confirmed with a repeat erection test. The skin incision was closed with absorbable sutures. Surgical success was determined by parental and physician satisfaction with the final outcome during follow-up.


RESULTS
No immediate or late complications (mean follow-up 25 months, range 3-65) developed. A straight penis was achieved in 28 of 33 patients (85%). Four patients with residual curvature did not require a second procedure, and the fifth patient successfully underwent reoperation using the same technique.


CONCLUSIONS
The results of our study have shown that ventral plication is a simple and efficient technique for the repair of dorsal penile curvature.
Bar-Yosef
Yuval
Y
Department of Urology, Tel Aviv Medical Center, Tel Aviv University Sackler Faculty of Medicine, Tel Aviv, Israel. yuvalbary@hotmail.com
Binyamini
Joseph
J
Sofer
Mario
M
Matzkin
Haim
H
Ben-Chaim
Jacob
J
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D008297:Male; D010413:Penis / Q000002:abnormalities* / Q000601:surgery*; D012189:Retrospective Studies; D013521:Urologic Surgical Procedures, Male / Q000379:methods