Plication for Correction of Congenital Penile Curvature: With or Without Degloving?. Issue 6 (6th November 2021)

• Record Type: Journal Article
• Authors: Kusin, Samuel B.; Khouri, Roger K.; Dropkin, Benjamin M.; Dietrich, Peter N.; Ward, Ellen E.; Baumgarten, Adam S.; Kansal, Jagan K.; Guise, Amy I.; Morey, Allen F.
• Is Part Of: Sexual medicine. Volume 9:Issue 6(2021)
• Page Start: 100462
• Page End: 100462
• Publication Date: 2021-11-06
• Subjects: Congenital Penile Curvature -- Plication -- Surgical Outcomes -- Non-Degloving; Sexual disorders -- Periodicals; Sexual health -- Periodicals; 616.69005
• DOI: 10.1016/j.esxm.2021.100462
• Languages: English
• ISSNs: 2050-1161

Abstract

Abstract: Introduction: Previously, incisionless plication (IP) for correction of congenital penile curvature (CPC) has been performed after penile degloving via a circumscribing incision. Aim: To describe our experience with non-degloving incisionless penile plication (NDIP) for correction of CPC and compare these outcomes with those of men who underwent degloving incisionless penile plication (DIP). Methods: We conducted a retrospective review of men ≤ 45 years of age who underwent incisionless penile plication for correction of CPC between 2008 and 2020 at two adult tertiary hospitals. Patients underwent either NDIP, performed through a 2-3 cm longitudinal incision along the proximal-to-mid shaft opposite the point of maximum penile curvature, or DIP via a sub-coronal circumscribing incision. Main Outcome Measures: Surgical and patient-reported outcomes were compared between the non-degloving and degloving groups. Results: Among the 38 men (mean age, 26 years) who met the inclusion criteria, 25 underwent NDIP, including 6 patients with biplanar curvature (2 Ventral, 4 Dorsal, 6 Lateral). Thirteen patients underwent DIP, including 1 patient with biplanar curvature (1 ventral, 1 lateral). Curvature reduction was 50 ± 23 degrees for the NDIP group and 36 ± 10 degrees for the DIP group ( P = .04). Five (20%) patients in the NDIP group and nine (69%) patients in the DIP group experienced a reduction in stretched penile length following plication (SPL) ( P = .01). One patient in the NDIP group underwent an additional plication for recurrent curvature. Conclusion: Both NDIP and DIP are safe and highly efficacious techniques for the correction of CPC.