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

Abstract

We retrospectively reviewed and compared the results of corporal plication procedures for the correction of congenital penile curvature (CPC) between pre‐pubertal and post‐pubertal boys and find whether age matters in the success rates. We reviewed the records of 32 patients with CPC without hypospadias treated by simple plication near the 12 o'clock position between 1998 and 2018 in our clinic. Patients under 13 years of age and not had puberty yet were accepted as pre‐pubertal. Residual curvature less than 10° during follow‐up was accepted as a surgical success. The mean age of the pre‐pubertal group was 8.3 (2–12) years, while 16.2 (14–21) for the post‐pubertal patients. The mean follow‐up was 38.7 (24–154) months in the pre‐pubertal group and 45.1 (23–150) months in the post‐pubertal group. The success rates of corporal plication in pre‐pubertal and post‐pubertal groups were 78% and 83% respectively (p = .753). The success rates of corporal plication were similar between pre‐pubertal and post‐pubertal boys. However, as the series was small further studies should be favoured to determine the effect of age on success rates.

The effectiveness of penile curvature treatment by cavernous body rotation and plication of the tunica albuginea

“…Interestingly, the analysis of the surgical treatment effectiveness depending on age (prepubertal, average age 8.3 years; postpubertal, average age 16.2 years) demonstrated comparable long-term results (78% and 83% efficacy for the respective groups at 38,7 and 45.1 months), which indicates the possibility of successful treatment at any age [7].…”