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Long-term Results of Ventral Penile Curvature Repair in Childhood
Dor Golomb1, Bezalel Sivan2, Pinhas M Livne2
1Department of Urology, Rabin Medical Center-Beilinson Hospital, Petach Tikva, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Insights
Ventral penile curvature repaired in infancy can recur after puberty, especially with dorsal plication. Patient satisfaction with penile appearance remains high regardless of the surgical method used.
Area of Science:
- Pediatric Urology
- Genitourinary Surgery
- Adolescent Health
Background:
- Ventral penile curvature (VPC) is a congenital condition often treated in infancy.
- Surgical repair aims to correct curvature and improve aesthetics.
- Long-term outcomes regarding recurrence and patient satisfaction are crucial.
Purpose of the Study:
- To evaluate the long-term postpubertal outcomes of infantile ventral penile curvature repair.
- To assess recurrence rates and aesthetic results based on surgical techniques.
- To determine factors associated with curvature recurrence.
Main Methods:
- Retrospective analysis of 27 postpubertal patients treated for VPC in infancy.
- Comparison of outcomes between skin release and dorsal plication techniques.
- Assessment of penile curvature, need for revision surgery, and patient satisfaction.
Main Results:
- Recurrence of penile curvature was observed in 43% of skin release and 77% of dorsal plication cases.
- Higher rates of redo urethroplasty were noted in the dorsal plication group (50% vs. 14%).
- Patient satisfaction with penile appearance was not significantly different between groups.
Conclusions:
- Ventral penile curvature repair in infancy has a notable recurrence rate after puberty.
- Dorsal plication may be associated with increased risk of recurrence and revision surgery.
- Surgical approach does not significantly impact postpubertal patient satisfaction with penile aesthetics.
Objective:
To assess the postpubertal outcome of ventral penile curvature repaired in infancy in terms of recurrence and aesthetics.
Materials And Methods:
Postpubertal patients treated for hypospadias and ventral penile curvature in infancy at a tertiary medical center were invited to undergo assessment of the quality of the repair. Findings were compared between patients with a straight penis after skin release and patients who required dorsal plication.
Results:
The cohort included 27 patients of mean age 16.5 years who were reported with straight penis after surgery. Postpubertal curvature was found in 6 of 14 patients (43%) successfully treated by skin release and 10 of 13 patients (77%) who underwent dorsal plication (P = .087). Significant curvature (≥30 degrees) was found in 1 of 14 patients in the skin-release group and 4 of 13 in the dorsal plication group (P = .16). Rates of redo urethroplasty were 2 of 14 (14%) and 5 of 10 (50%), respectively. Patient satisfaction with the appearance of the penis did not differ significantly.
Conclusion:
Ventral penile curvature repaired in infancy often recurs after puberty. The need for dorsal plication has a trend-level association with recurrence of penile curvature in puberty. It might also be related to the degree of postpubertal penile curvature and the need for redo urethroplasty. Procedure type does not affect patient satisfaction with the postpubertal appearance of the penis.
