Long-term results of Essed–Schroeder plication by the use of non-absorbable Goretex™ sutures for correcting congenital penile curvature

Abstract

This study evaluated the long-term outcome of the Essed -Schroeder procedure for correcting congenital penile curvature using non-absorbable Goretex 2 sutures. The Essed -Schroeder procedure was performed in 35 patients with congenital ventral penile curvature (minimum 30). Follow-up included a standardized interview with measurement of angulation. Twenty-three of 35 patients were available for complete long-term follow-up (average 34.3 months). The mean preoperative ventral curvature was 54. In 17=23 patients, the penis remained straightened. Recurrent curvature (average 23 ) was observed in six of 23 patients. Fifteen of 23 patients complained of penile shortening (average 1.8 cm). Two of 23 patients reported disturbing side effects that were caused by plication nodes. In most cases, the results of penile straightening by the Essed -Schroeder procedure are excellent with a high grade of subjective satisfaction. Regarding the main problem, that is recurrent curvature, there is no decisive advantage of applying Goretex 2 sutures. Discomfort caused by plication nodes can be reduced to a minimum by using a combination of soft Goretex 2 sutures with the 'inverting stitch-technique'.

Treatment of penile curvature with Essed‐Schröder tunical plication: aspects of quality of life from the patients’ perspective

“…These data are comparable with previous findings in both pathologies [2] and in congenital curvature alone [12]. The satisfaction rate of the partnerships was high, at 78%.…”

“…The present results show excellent low recurrence rates for CPD using six sutures (either polypropylene or Goretex 3/0) and using the inverted suture technique [5,17]. The penis was shorter in 74% of the present patients, similar to the rate in other studies, as penile shortening is a technique-related side-effect which must be explained to the patient before surgery [12]. Chien and Aboseif [18] reported promising results of a longitudinal corporeal plication technique.…”

“…The risk of recurrence of deviation is higher in PD because of the progression of penile deviation. However, in CPD there can be early failures and later recurrences, possibly because of insufficient sutures, breakage of sutures, occurrence of granuloma or the passage of sutures through the tissue of the tunica albuginea [5,12,13,15,16]. The present results show excellent low recurrence rates for CPD using six sutures (either polypropylene or Goretex 3/0) and using the inverted suture technique [5,17].…”

“…These data are supported by Schultheiss et al [10], who reported a higher failure rate after plication than after the Nesbit technique. The recurrence rates of penile deviation are 0-57% after tunical plication [6,9,[11][12][13] and a maximum of 18% after the Nesbit procedure [14]. The risk of recurrence of deviation is higher in PD because of the progression of penile deviation.…”

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

“…However, this technique is accompanied by a high incidence of recurrent curvature and discomfort/pain caused by the nonabsorbable sutures. 3,4 In 1997, to reduce the incidence of recurrent penile curvature, Rehman et al 5 introduced a modification of the plication technique by partially shaving an ellipse of tunica albuginea.…”