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Published on: March 15, 2024
Surgical treatment of penile curvature
1Department of Surgery, Kwong Wah Hospital, Yaumatei, Hong Kong. kwanlun2001@yahoo.com
Objective:
To review long-term efficacy and complications of surgical treatment of penile curvature in a Chinese population.
Design:
Retrospective review.
Setting:
Regional hospital, Hong Kong. PATIENTS. Patients who underwent surgical treatment of penile curvature between January 1997 and March 2005 inclusive.
Intervention:
Penile curvature corrective surgery.
Main Outcome Measures:
Penile curvature recurrence, early and late complications.
Results:
Of 22 patients who underwent surgical treatment of penile curvatures, 19 had congenital and three had acquired diseases. The mean angle of deformity was 52.5 (range, 20-90) degrees. Ten patients had Nesbit procedures, ten had modified Nesbit procedures, and two underwent vein grafting. Twenty patients had residual or recurrent penile curvatures at a mean follow-up of 50.9 months. Fifteen patients had less than 30 degrees curvature and five had 30 to 60 degrees curvature. Early complications included wound infection (n=3), penile skin necrosis (n=1) treated by skin graft, and urethral injury (n=1). Three patients had erectile dysfunction; four complained of glans paraesthesia. Penile shortening (mean, 1.4 cm) and palpable knots were common late complications. A total of 19 patients were satisfied with the final outcomes.
Conclusions:
Surgical treatment of penile curvature produces long-term patient satisfaction. Preoperative counselling on potential recurrence and common minor complications is crucial to produce favourable outcomes.
