Corporeal herniation after Nesbit plication with partial thickness shaving for congenital penile curvature

Minervini, Andrea; Morelli, Girolamo; Dinelli, Nicola; Selli, Cesare; Minervini, R.

doi:10.1038/sj.ijir.3901037

Cited by 6 publications

(4 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is because the thickness of the tunica albuginea in the erect penis is only 0.5–1.0 mm 11 . Excessive shaving has been reported to cause herniation of the corpus cavernosum 12 . With the technique discussed in the present study, partial thickness incisions were made in the tunica albuginea, allowing even shaving of the superficial layer using scissors.…”

Section: Discussionmentioning

confidence: 88%

New plication technique for the treatment of congenital penile curvature

Kato

Nagao²,

Ishii

et al. 2005

Reprod Medicine & Biology

View full text Add to dashboard Cite

Conditions that cause curvature of the erect penis also lead to difficulties with intercourse. The present study presents an effective surgical treatment for congenital penile curvature. Between March 1996 and August 2004, 49 patients were diagnosed with congenital penile curvature at the Toho University Omori Hospital Reproduction Center, Tokyo. Of these, 27 eligible patients underwent surgical treatment. The operative technique used involved the tunica albuginea being exposed and a number of vertical incisions were made through its superficial layers. The superficial layer of the tunica albuginea was then resected using scissors. Inverted plication sutures were then placed in the raw surface of the corpus cavernosum using 2-0 nylon. In addition, 2-0 polyglactic acid (Vicryl) sutures were placed on either side of each nylon suture knot. Of a total of 49 patients, 27 eligible patients underwent surgical treatment with no serious postoperative complications. All 27 patients were able to sustain intercourse. There were no new cases of erectile dysfunction, penile pain or penile shortening. There were no recurrences of penile curvature. This new partial thickness shaving, inverted sutures reinforced with dissolving sutures plication method is an extremely effective surgical treatment for congenital penile curvature, with a superior safety profile. (Reprod Med Biol 2005;: 255-258).

show abstract

Section: Discussionmentioning

confidence: 88%

New plication technique for the treatment of congenital penile curvature

Kato

Nagao²,

Ishii

et al. 2005

Reprod Medicine & Biology

View full text Add to dashboard Cite

show abstract

“…Corporeal herniation through the site of plication is a possible complication of this procedure. This eventuality has to be considered a consequence of excessive shaving of the tunica albuginea rather than depending on the type of suture used (63).…”

Section: Penile Straighteningmentioning

confidence: 99%

Penile Curvature: An Update for Management from 20 Years Experience in a High Volume Centre

et al. 2016

View full text Add to dashboard Cite

Our aim was to review the literature and discuss about penile curvature in order to have an update for management after 20 years experience in the field.Penile curvature may be congenital or acquired. Congenital penile curvature is a relatively uncommon condition that may present in late adolescent or early adult life. The incidence is estimated to be 0.6 %. On the other side, acquired penile curvature has an overall prevalence of 0.5-13%. Three main factors seem to increase the risk of developing an acquired penile curvature, often related to Peyronie's disease: penile traumatism, genetic and familiar conditions and a history of diseases of the genital tract. In treating Peyronie's disease, no medical therapy is fully effective, and surgery remains the gold standard in cases of severe deformity and/or erectile disfunction. Peyronie's disease is associated with significant psychological stress for patients and their partners. Appropriate treatment should be individualized and tailored to the patient's goals and expectations. There is not the 'best' surgical technique and outcomes are satisfactory when proper treatment decisions are made.

show abstract

Section: Surgical Treatmentmentioning

confidence: 99%

Peyronie’s Disease: Lights and Shadows

et al. 2007

View full text Add to dashboard Cite

Peyronie’s disease (PD) is characterized by the onset of fibrous plaque inside the tunica albuginea of the penile corpora cavernosa that can cause pain and bending during the erection, making intercourse difficult or impossible. Evidence of the literature supports the autoimmune etiology of PD and suggests genetic and familiar conditions, penile traumatisms, and a history of genital tract diseases as risk factors, but no definitive conclusions arise about the pathogenesis of the disease. Few randomized trials demonstrated that medical therapies, such as vitamin E, colchicine, potassium aminobenzoate, tamoxifen, and injection therapy with verapamil, can stabilize the acute phase of the disease. Extracorporeal shock wave therapy and iontophoresis cannot be considered first-line or gold standard therapies. Satisfactory results have been published with the Nesbit operation in large series with low-stage disease, whereas plication procedures have shown significant relapse rates. A high incidence of long-term penile retractions has been reported in high-stage disease treated with plaque incision and simple graft insertion. Malleable, soft, or inflatable prostheses combined with graft implantation have given the best results in terms of penile straightening and lengthening and patient satisfaction. In conclusion, the etiopathogenesis of PD is not yet clearly understood, no medical therapy is fully effective, and surgery remains the gold standard in patients with severe deformity and/or erectile dysfunction.

show abstract

Corporeal herniation after Nesbit plication with partial thickness shaving for congenital penile curvature

Cited by 6 publications

References 7 publications

New plication technique for the treatment of congenital penile curvature

New plication technique for the treatment of congenital penile curvature

Penile Curvature: An Update for Management from 20 Years Experience in a High Volume Centre

Peyronie’s Disease: Lights and Shadows

Contact Info

Product

Resources

About