title: Rotation of the corpora cavernosa for the treatment of congenital penile curvature.
abstract: BACKGROUND
  Congenital penile curvature (CPC) is caused by a disorder in the embryonic development of the urethra and corpora cavernosa. The condition causes difficulty for penetration, requiring surgical correction when it prevents intercourse.
  
  
  METHODS
  We present the cases of 2 men in their 40s who had ventral curvature greater than 60° of 2 years of evolution, with maintained erections. The patients underwent surgery for rotation of the corpora cavernosa. After the complete denudation of the penis, athermal release of the neurovascular bundle of the penis from the ventral side to the dorsal was performed. Once the curvature was verified using artificial erection, an incision was performed in the tunica albuginea of both corpora cavernosa, continuously suturing both internal and external margins with resorbable monofilament. The rectification of the curvature was then checked, and the mucocutaneous plane was reconstructed.
  
  
  RESULTS
  The surgical time was 120minutes and there were no intraoperative complications. Both patients were discharged 24h after the surgery. At 1 week, the patients experienced spontaneous night-time erections and were able to maintain sexual relations 1 month after the surgery. At 6 months, the residual curvature was less than 20°, the penile shortening was less than 1 centimeter and the International Index of Erectile Function-5 was 25 for both cases.
  
  
  CONCLUSIONS
  Surgery for rotation of the corpora cavernosa helps correct CPC without significant penile shortening or erectile dysfunction. In our opinion, the procedure is an appropriate treatment for patients with CPC but requires studies with long-term follow-up in order to consider it the technique of choice.
authors: Servicio de Urología, Hospital Universitario de Fuenlabrada, Madrid, España. Electronic address: robersescu@hotmail.com.
authors: R
authors: R
authors: Molina-Escudero
authors: Servicio de Urología, Hospital Universitario de Fuenlabrada, Madrid, España.
authors: L
authors: L
authors: Crespo-Martínez
authors: Servicio de Urología, Hospital Universitario de Fuenlabrada, Madrid, España.
authors: M
authors: M
authors: Dorado-Valentín
authors: Servicio de Urología, Hospital Universitario de Fuenlabrada, Madrid, España.
authors: L
authors: L
authors: Rodríguez-Sánchez
authors: Servicio de Urología, Hospital Universitario de Fuenlabrada, Madrid, España.
authors: Á
authors: Á
authors: Páez-Borda
mesh_terms: D000328:Adult; D002944:Circumcision, Male; D003075:Coitus; D006801:Humans; D008297:Male; D010410:Penile Erection; D010413:Penis / Q000002:abnormalities* / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012399:Rotation; D016896:Treatment Outcome
keywords: Congenital penile curvature; Incurvación peneana congénita; Plicatura de albugínea; Rotación de cuerpos cavernosos; Rotation of corpora cavernosa; Tunica albuginea plication