An unanswered question in pediatric urology: the post pubertal persistence of prepubertal congenital penile curvature correction by tunical plication

Abstract

Objective:The aim of this study is to analyze post pubertal results of pre pubertal tunica albuginea plication with non-absorbable sutures in the correction of CPC.Materials and Methods:The files of patients who underwent tunica albuginea plication without incision (dorsal/lateral) were retrospectively reviewed. Patients younger than 13 years of age at the time of operation and older than 14 years of age in November 2015 were included. Patients with a penile curvature of less than 30 degrees & more than 45 degrees and penile/urethral anomalies were excluded. All of the patients underwent surgery followed by circumcision.Results:The mean age of patients at the time of the operation was 9.7 years (range, 6-13 years). The mean degree of ventral penile curvature measured during the operation was 39 degrees while it was 41 degrees in the lateral curvatures. All of the patients were curvature-free at the end of the operation. At the time of the follow-up examination, the mean age was 16.7 years (range, 14-25 years). Six patients had a straight (0-10 degrees) penis during erection and seven patients had recurrent penile curvatures ranging from 30 to 50 degrees.Conclusion:Pre pubertal tunica albuginea plication of congenital penile curvature (30-45 degrees) with non-absorbable sutures performed without incision is a minimal invasive method especially when performed during circumcision. However, recurrence might be observed in half of the patients after puberty.

Giammusso corporoplasty for the treatment of isolated congenital ventral penile curvature: Results and long‐term follow‐up

“…In some patients, the curvature may be associated with penile rotation. CPC incidence ranges between 0.04% and 0.6%, and in 50% of cases, the curvature is ventral (Ozkuvanci et al, 2017). The curvature could only be seen during erection, spontaneously or drug-induced, and, depending on…”

Comparison of corporal plication for the correction of congenital penile curvature in pre‐pubertal and post‐pubertal patients: Does age matter?

“…While there was no recurrence in six patients, seven patients had recurrent curvature between 30° and 50° after puberty. None of the 13 patients included in the study had early complications and no patients reported any complaints of erectile dysfunction (Ozkuvanci et al., 2017).…”

2018 Canadian Urological Association guideline for Peyronie's disease and congenital penile curvature

“…1 A proportion of boys will present to their pediatric urologist with CPC, and the data remains formative as to the optimal timing for surgical intervention in this group. [109][110][111] A focused history and physical examination establishes the diagnosis of CPC. Unlike Peyronie's disease, congenital penile curvatures are most commonly ventral curvatures, with erectile function and rigidity typically normal, and with preserved penile length.…”