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A modified corporoplasty for treating congenital penile curvature and reducing the incidence of palpable indurations

1999; Wiley; Volume: 83; Issue: 1 Linguagem: Inglês

10.1046/j.1464-410x.1999.00887.x

1464-410X

G. Popken, Ulrich Wetterauer, Wolfgang Schultze‐Seemann, Alexander Deckart, H. Sommerkamp,

Urological Disorders and Treatments

To reduce the incidence of postoperative palpable induration after treating congenital penile curvature, using a modified corporoplasty technique.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.The early results ( 6 months) also showed that these patients developed fewer palpable indurations (16% vs 44%).The modified corporoplasty reduced the incidence of postoperative haematoma and late complications (e.g. palpable indurations) after the surgical correction of congenital penile curvature.