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Corporeal plication for surgical correction of penile curvature. Experience with 60 patients
N Thiounn1, A Missirliu, M Zerbib
1Clinique Urologique de l'Hôpital Cochin, Paris, France. nicolas.thiounn@cch.ap-hop-paris-fr
Objective:
To evaluate the efficacy of tunica albuginea plication without excision in patients with congenital and acquired penile curvature.
Methods:
Results were retrospectively analyzed in 60 consecutive patients treated from 1982 to 1996. Mean age was 42.8 years (range 16-77). 25 patients had congenital curvature and 35 patients had acquired curvature (29 Peyronie's disease, 5 postoperative and 1 posttrauma). All patients had penile curvature with angulation over 30 degrees and major intercourse difficulties.
Results:
Postoperatively, 52 patients (87%) had satisfactory cosmetic results and 49 (82%) had satisfactory functional results. All patients (100%) with congenital or postoperative curvature had satisfactory cosmetic results and satisfactory functional results. Patients with Peyronie's disease had a lower success rate with 81% satisfactory cosmetic results and 62% satisfactory functional results.
Conclusion:
Tunica albuginea plication is a more simple procedure than tunica albuginea resection (Nesbit procedure) with a comparable success rate and minimal morbidity.