Our experience with penile deformations: incidence, operative techniques, and results

Between the initiation of the "Penile Deformity Clinic" in 1988 in our Department of Urology, and the end of 1992, 1,862 males aged 0 (less than 24 hours old) to 78 years old were examined. Five hundred of them were newborns, aged 0 to 5 days; they were examined to determine the incidence of congenital penile curvature. Two hundred and seventeen congenital curvatures were seen, and 102 of them were corrected surgically using four different corporoplasty techniques. From the 116 Peyronie's Disease patients, 37 were treated surgically, either by corporoplasty or prosthesis implantation. From the 29 iatrogenic penile deformities, all the result of previous hypospadias repairs or urethroplasties for stricture repairs, 18 needed surgical intervention, mostly for cosmetic reasons. Three congenital curvatures, corrected by plication, and one by Nesbit corporoplasty, recurred. Three other cases corrected by Nesbit corporoplasty reported temporary loss of glans sensation, and in a fourth one the sensory loss was permanent. It is our opinion that concentrating the care of these deformities in the hands of a small group of surgeons specialized in penile reconstructive surgery yields the best functional and esthetic results.