[Ventral penis curvature correction in children with hypospadias]
G V Kozyrev1, D T Manasherova2, G A Abdulkarimov1
1Urological-andrological Department, Russian Childrens Hospital, Moscow, Russia.
Insights
The STAGE technique effectively corrects ventral penile curvature in pediatric hypospadias patients, showing no recurrence in follow-up. This method is crucial for future sexual health and minimizes complications.
Area of Science:
- Pediatric Urology
- Surgical Innovation
- Genitourinary Reconstruction
Background:
- Ventral penile curvature is a common congenital anomaly associated with hypospadias.
- Correction of penile curvature is vital for normal sexual function and psychological well-being.
- Existing surgical techniques may have limitations in addressing varying degrees of curvature.
Purpose of the Study:
- To evaluate the efficacy of the STAGE technique in correcting ventral penile curvature in pediatric patients.
- To assess the recurrence rates and complication profile of the STAGE technique.
- To establish the STAGE technique as a reliable method for hypospadias repair.
Main Methods:
- A cohort of 424 pediatric patients with ventral penile curvature (15-60 degrees) were treated between 2014 and 2018.
- Patients were categorized into three groups based on hypospadias type: subcoronal/midshaft, post-urethroplasty, and chordee without hypospadias.
- The STAGE (Sagittal, Transverse, And Glanular Expansion) technique was uniformly applied for curvature correction.
Main Results:
- No instances of recurrent penile curvature were observed in any patient group during early or late postoperative follow-up (up to 1 year).
- The STAGE technique demonstrated successful correction of ventral penile curvature across all treated patient cohorts.
- The study reported a minimal complication rate associated with the STAGE technique.
Conclusions:
- The STAGE technique provides a reliable and effective method for correcting ventral penile curvature in hypospadias repair.
- Successful correction of ventral curvature is essential for optimizing future sexual function in affected males.
- The STAGE technique offers a low-complication approach for managing penile curvature ranging from 15 to 60 degrees.
Objective:
Our study aims to improve hypospadias in children by successfully correcting ventral penile curvature.
Materials And Methods:
From 2014 to 2018, 424 patients with ventral penile curvature of 15-60 degrees were treated. All patients were divided into 3 groups depending on the form of hypospadias: Group I consists of 303 patients with subcoronal and midshaft hypospadias; Group II - 48 patients with midshaft hypospadias who earlier underwent urethroplasty; Group III - 73 patients with chordee without hypospadias. To correct ventral curvature in all cases - STAGE technique was applied.
Results:
No recurrence of penile curvature was noted in any of the three groups in the early and late post-operative follow-up of up to 1 year.
Conclusions:
Ventral curvature penile correction is important for the future sexual life of the patient. Attention should be paid to this stage of the hypospadias repair. STAGE technique allows to correct ventral curvature of 15 - 60 degrees with minimal number of complications.
