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[Surgical approaches to the correction of congenital penile curvature]
Da-xing Tang1, De-hua Wu, Shui-heng Yan
1Department of Urology and Oncology, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310003, China. tangdx0206@sina.com
Objective:
To evaluate some currently used surgical approaches to the correction of congenital penile curvature.
Methods:
Seventy-six patients with congenital penile curvature underwent surgical correction, of whom 67 were accompanied with hypospadias, 5 with epispadias and 4 with normal urethral meatus. The methods for straightening the phallus included 5-week preoperative hCG treatment, complete degloving of penile skin, release of periurethral fibrous bands extending proximally to the meatus, plication of dorsal or ventral tunica albuginea, and embedding of dermis and tunica vaginalis grafts.
Results:
All the cases were followed up for 2 months to 2 years, and the mean follow-up time was 9.3 months. Satisfactory phallus straightening was achieved in 67 cases (88%), mild residual chordee remained in 6 (8%), which needed no reoperation for the time being unless warranted by follow-up, and relapse occurred in 3 (4%), which needed further operation.
Conclusion:
Most cases of congenital penile curvature can be corrected sufficiently with the above methods.
