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Reconstructive surgery for recurrent penile curvature.

Masahiro Takeda1, Shogo Seo2, Ryo Sueyoshi2

  • 1Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan. mstakeda@juntendo.ac.jp.

Pediatric Surgery International
|October 24, 2017
PubMed
Summary

Reconstructive surgery for recurrent penile curvature (redo-PC) is uncommon. Tunica albuginea incision (TAI) proved most effective for redo-PC, with preoperative artificial erection (AE) guiding customized treatment.

Keywords:
HypospadiasRecurrent/persistent penile curvatureSalvage surgeryTunica albuginea incision

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Area of Science:

  • Urology
  • Reconstructive Surgery
  • Andrology

Background:

  • Severe recurrent/persistent penile curvature (redo-PC) presents unique surgical challenges.
  • Limited literature exists on reconstructive surgical outcomes for redo-PC.
  • Previous surgical interventions may complicate redo-PC management.

Purpose of the Study:

  • To present surgical experience with severe recurrent/persistent penile curvature (redo-PC).
  • To evaluate the effectiveness of different surgical techniques for redo-PC.
  • To identify optimal strategies for managing redo-PC.

Main Methods:

  • Retrospective review of 9 patients undergoing redo-PC surgery between 1998 and 2016.
  • Analysis of initial penile curvature (PC) severity, previous surgical methods (dorsal plication, chordectomy), and outcomes.
  • Assessment of straightening success using artificial erection (AE) post-intervention.

Main Results:

  • Six patients underwent tunica albuginea incision (TAI), and three had scar removal with dorsal plication (DP).
  • Previous treatments included dorsal plication (DP), chordectomy, or unknown procedures; some cases had prior failed redo surgeries.
  • Successful straightening confirmed by AE was achieved in all 9 cases after TAI or scar removal with DP, with a mean follow-up of 2.6 years.

Conclusions:

  • Tunica albuginea incision (TAI) is the most effective surgical approach for redo-PC.
  • Preoperative artificial erection (AE) and examination under anesthesia are crucial for tailoring redo-PC treatment.
  • Customized surgical planning is essential for successful redo-PC outcomes.