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[Corrective surgery of penile inward curvature]
J A Portillo Martín1, M A Correas Gómez, M A Rado Velásquez
1Servicio de Urología, Hospital Universitario Valdecilla, Facultad de Medicina, Universidad de Cantabria, Santander.
Objective:
To evaluate the corporoplasty techniques performed on 59 patients to correct congenital penile curvature and Peyronie's disease.
Patients And Method:
From april 1991 to december 2001, 39 Nesbit technique, 12 Ruiz-Castañé method and 8 Essed-Schröeder procedure were performed on forty-four congenital curvatures and fifteen Peyronie's diseases. The mean age was 24 years old. Trying to hide the knots, in all patients except five a nonabsorbable inverting sutures were placed.
Results:
The mean follow-up was 12 months. Postoperatively, 53 patients (86%) had satisfactory cosmetic and functional results. Four patients of five with absorbable sutures had residual curvature which needed another successful surgical correction. One patient complained of penile shortening, one of glans hypoaesthesia, one of foreskin oedema and five of palpable plication sutures. No differences were found depending on the applied surgical technique.
Conclusions:
The results reported are in accordance with the literature showing a higher recurrence rate with the absorbable sutures. The outcome is very similar with the three described techniques.