Surgical correction of congenital penile curvature with dermal grafts: Long-term follow-up

A. Simonato, A. Gregori, V. Varca, A. F. De Rose, F. Venzano, T. Montanaro, M. Esposito, G. Carmignani

Research output: Contribution to journalArticle

Abstract

Objective: Many procedures for congenital penile curvature correction may have the risk of penile shortening, even if minimal. We report a long term outcome analysis of dermal graft corporoplasty in a selected group of young patients with congenital penile curvature who refused a simple plication technique. Methods: Between January 1995 and December 2006, 18 potent patients, mean age 27.3 years (range 19-36) with congenital penile curvature underwent corporoplasty with inguinal dermal graft, with or without tunica albuginea plication. On December 2007 10/18 patients were available for a complete long term outcome evaluation. The preoperative mean International Index of Erectile Function-5 score was 23.2 (range: 21-25). One graft was placed in 1 patient (10%), 6 (60%) received 1 graft and underwent a tunica albuginea plication, 1 (10%) received 2 grafts, 2 (20%) received 2 grafts and underwent a tunica albuginea plication. Results: After a mean follow up of 39.4 months (range 12-98), all patients were satisfied of penis' dimension with a normal sexual life. Only 1 patient complained just a minimal residual curvature. We found no statistically difference in the International Index of Erectile Function-5 score before and after the surgical procedure. Conclusion: Our approach has allowed us to get a penile straightening without postoperative shortening and with preservation of erectile function. The long term patients' satisfaction indicates that this technique may be safely used in selected cases.

Original languageEnglish
Pages (from-to)112-116
Number of pages5
JournalJournal of Andrological Sciences
Volume16
Issue number2-3
Publication statusPublished - 2009

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Keywords

  • Congenital penile curvature
  • Dermal graft
  • Penile corporoplasty

ASJC Scopus subject areas

  • Reproductive Medicine
  • Endocrinology, Diabetes and Metabolism
  • Urology

Cite this

Simonato, A., Gregori, A., Varca, V., De Rose, A. F., Venzano, F., Montanaro, T., Esposito, M., & Carmignani, G. (2009). Surgical correction of congenital penile curvature with dermal grafts: Long-term follow-up. Journal of Andrological Sciences, 16(2-3), 112-116.