Anatomy of the Neurovascular Bundle: Is Safe Mobilization Possible?

Baskin, Laurence S.; Erol, Ali; Li, Ying Wu; LIU, WEN HUI

doi:10.1097/00005392-200009020-00014

Cited by 30 publications

(24 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Careful studies of human penile anatomy have led to an anatomical theory for correcting penile chordee. Baskin et al [7,9] reported detailed studies of penile innervation in relation to the tunica albuginea, and the thickness and hence strength of the tunica. They showed that there are no dorsal nerves of the penis in the 11 and 1 o'clock positions, but that they are wrapped intensively around the tunica.…”

Section: Discussionmentioning

confidence: 99%

“…The aim of surgery for either congenital or acquired penile curvature is to straighten the penis but allowing a normal erection, enabling satisfactory penetration and sensation during sexual intercourse [2][3][4][5][6][7][8][9][10][11][12]. Since the introduction by Baskin and Duckett [5] of dorsal tunica albuginea plication for correcting hypospadias curvature with or without incisions, it has become the operation of choice in most patients.…”

Section: Introductionmentioning

confidence: 99%

“…Satisfactory results were also reported with this technique in patients with acquired penile curvature (Peyronie's disease) [8,13]. Most urologists acknowledge the success of dorsal tunica albuginea plication for correcting hypospadias curvature [5][6][7][8][9][10][11][12][13], but some have questioned the long-term implications of dorsal plication in childhood [5]. We reviewed our experience with tunica albuginea plication for correcting penile curvature, with special emphasis on the longterm results.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Dorsal tunica albuginea plication to correct congenital and acquired penile curvature: a long‐term follow‐up

2004

View full text Add to dashboard Cite

Authors from Jerusalem evaluated the long‐term efficacy of a tunica albuginea dorsal plication technique in the treatment of congenital and acquired curvature of the penis. They assessed their experience in 83 patients aged 1‐8 years who underwent this procedure over a 10‐year period. They found it to be a simple technique with considerable long‐term efficacy. OBJECTIVE To evaluate the long‐term efficacy of a tunica albuginea dorsal plication technique for treating congenital and acquired penile curvature. PATIENTS AND METHODS We retrospectively evaluated 83 patients (median age 1.8 years) who had their penile curvature corrected surgically using dorsal tunica albuginea plication between 1992 and 2002. The results were evaluated objectively using a pharmacological erection test or subsequently based either on the parents’ reports or patients’ self‐assessment. The median (range) follow‐up was 6 (0.7–10) years. RESULTS Seventy (84%) patients had penile plication as an integral part of hypospadias repair, while the remaining 13 (16%) with a normal urethra had dorsal plication only. Twenty‐eight (34%) of the 83 patients had an erection test during a repeat hypospadias repair or closure of a urethrocutaneous fistula; 22 of these had a straight penis, while the remaining six required additional plication for a satisfactory cosmetic outcome. Parents of 45 (54%) children reported that their child had a normal erection with no chordee during the follow‐up. Ten (12%) adult patients reported straight erections enabling satisfactory penetration and sensation during sexual intercourse. None of the patients reported penile shortening or erectile dysfunction after surgery, and none had recurrent curvature during the follow‐up. There was no difference in the results between patients with congenital or acquired penile curvature. CONCLUSIONS Dorsal plication of the tunica albuginea is a simple and effective method in the long term for correcting congenital and acquired penile curvature.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Dorsal tunica albuginea plication to correct congenital and acquired penile curvature: a long‐term follow‐up

2004

View full text Add to dashboard Cite

show abstract

“…Anatomical studies have shown that the dorsal nerves of the penis wrap extensively around the tunica albuginea [ 21 ] . Baskin et al .…”

Section: Discussionmentioning

confidence: 99%

“…Baskin et al . [ 21 ] stated that the only nerve-free zone on the penis is at the 12 o ' clock position. In order to prevent neurovascular bundle damage, a paraurethral longitudinal incision was made in the Buck ' s fascia to allow easy, and minimal, mobilization of the neurovascular bundle by blunt dissection.…”

Section: Discussionmentioning

confidence: 99%

Superficial tunica albuginea excision, using geometric principles, for the correction of congenital penile curvature

Kuehhas

Egydio²

2012

BJU International

View full text Add to dashboard Cite

E 9 4 9What ' s known on the subject? and What does the study add? Congenital penile deviation has become a relatively frequent fi nding due to a greater awareness of the problem among patients and physicians. Since the fi rst surgical correction for congenital penile curvature was performed, many modifi cations have been implemented to overcome the disadvantages of the standard procedure and to improve functional results. Among the possible side effects of the original technique are postoperative erectile dysfunction, the development of painful nodules at the suture sites ( ' dog ears ' ), alteration of cutaneous sensibility and signifi cant penile shortening.

show abstract