Ventral plication for repair of pediatric dorsal penile curvature
Yuval Bar-Yosef1, Joseph Binyamini, Mario Sofer
1Department of Urology, Tel Aviv Medical Center, Tel Aviv University Sackler Faculty of Medicine, Tel Aviv, Israel. yuvalbary@hotmail.com
Insights
Ventral plication effectively corrects dorsal penile curvature in pediatric patients. This surgical technique offers a high success rate with minimal complications for penile straightening.
Area of Science:
- Pediatric Urology
- Surgical Techniques
- Congenital Penile Anomalies
Background:
- Dorsal penile curvature can impact quality of life and requires effective surgical correction.
- Ventral plication is a recognized surgical approach for penile deformities.
Purpose of the Study:
- To evaluate the efficacy and safety of ventral plication for correcting dorsal penile curvature in pediatric patients.
Main Methods:
- Ventral plication was performed on 33 pediatric patients with dorsal curvature >30 degrees.
- Sutures were placed in the tunica albuginea to correct the curvature, confirmed by intraoperative erection tests.
- Surgical success was assessed by parental and physician satisfaction during follow-up.
Main Results:
- A straight penis was achieved in 85% (28/33) of patients.
- No immediate or late complications were reported during a mean follow-up of 25 months.
- One patient required successful reoperation using the same technique for residual curvature.
Conclusions:
- Ventral plication is a simple, safe, and effective surgical technique for correcting dorsal penile curvature.
- The procedure demonstrates a high success rate and favorable outcomes in pediatric patients.
- This method offers a reliable solution for improving penile alignment.
Objectives:
To present the results of ventral plication for the repair of dorsal curvature.
Methods:
A total of 33 patients (mean age 38 months, range 7 months to 15 years) with a dorsal curvature of >30 degrees degrees underwent ventral plication. A subcoronal incision was performed, followed by degloving of the skin to the penile base. The point of maximal curvature was noted and marked during an erection test. Two polypropylene 5-0 plication sutures were placed in the tunica albuginea of both corporeal bodies, just lateral and adjacent to the corpus spongiosum. Proper alignment and a straight penis were confirmed with a repeat erection test. The skin incision was closed with absorbable sutures. Surgical success was determined by parental and physician satisfaction with the final outcome during follow-up.
Results:
No immediate or late complications (mean follow-up 25 months, range 3-65) developed. A straight penis was achieved in 28 of 33 patients (85%). Four patients with residual curvature did not require a second procedure, and the fifth patient successfully underwent reoperation using the same technique.
Conclusions:
The results of our study have shown that ventral plication is a simple and efficient technique for the repair of dorsal penile curvature.
