Management of Congenital Penile Curvature

Nyírády, Péter; Kelemen, Zsolt; Bánfi, Gergely; Rusz, A.; Majoros, Attila; Romics, Imre

doi:10.1016/j.juro.2007.11.059

Cited by 38 publications

(60 citation statements)

References 11 publications

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“…Success rates for correction of ventral penile curvature in the literature as defined by penile straightening have been reported at greater than 90% in both children and adults [13–15], and complication rates are reported to be low [14,16]. Polat and colleagues reported 94% success for straightening of ventral curvature without hypospadias in both children and adults and only 2/22 children followed until adolescence had recurrence of curvature requiring an additional surgical procedure [16].…”

Section: Discussionmentioning

confidence: 99%

Do adult men with untreated ventral penile curvature have adverse outcomes?

Menon

Breyer

Copp

et al. 2016

Journal of Pediatric Urology

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Summary Introduction Congenital ventral penile curvature without hypospadias is often treated surgically in childhood. The history of untreated ventral curvature is unknown. Objective This study’s aim was to examine the association of untreated ventral penile curvature with various sexual and psychosexual outcomes. Study design An electronic survey was advertised to men older than 18 years on Facebook. Men with possible ventral penile curvature identified themselves by choosing sketches that most closely represented their anatomy. Outcomes assessed included: Sexual Health Inventory for Men, difficulty of intercourse because of curvature, International Prostate Symptom Score, Penile Perception Score, psychosexual milestones, paternity, infertility, sitting to urinate, and the CDC HRQOL-4 module. Results Among participants, 81 out of 684 men (11.8%) reported untreated ventral penile curvature. Participants with self-reported curvature noted more difficulty with intercourse because of curvature (4.5 vs 4.9, p < 0.001), more unhealthy mental days (8.6 vs 6.2, p = 0.02), and increased dissatisfaction with penile self-perception compared with men without reported curvature (8.6 vs 9.5, p < 0.001). Discussion Men with possible untreated ventral curvature reported worse penile perception scores, more mentally unhealthy days, and increased difficulty with intercourse secondary to curvature compared with men without curvature. A limitation to this study is selection bias; responses collected were self-reported from survey volunteers. Additionally, the question identifying ventral penile curvature is not validated but performed well in pretesting. Most questions were from validated surveys, but some were modeled after validated surveys and/or contained high face validity types of questions. Conclusion Men with possible untreated ventral penile curvature reported more dissatisfaction with penile appearance, increased difficulty with intercourse, and more unhealthy mental days. Given high success rates, low complications, and improved outcomes after surgical correction of penile curvature reported in the literature, our results support correction of congenital penile curvature in childhood.

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Section: Discussionmentioning

confidence: 99%

Do adult men with untreated ventral penile curvature have adverse outcomes?

Menon

Breyer

Copp

et al. 2016

Journal of Pediatric Urology

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“…Durante la nostra esperienza precedente, l'uso dell'approccio sub-coronale con risparmio della cute prepuziale, su richiesta del paziente, rendeva spesso necessario eseguire una circoncisione secondaria di riparazione, poiché non era raro osservare edema, fimosi oppure necrosi cutanea distale. Secondo alcuni autori, per la procedura sub-coronale la circoncisione dovrebbe essere sempre eseguita al fine di prevenire l'insorgenza di queste complicanze (27)(28). Se tale procedura ausiliare risulta così importante è però necessario porre l'attenzione su quanto sia fondamentale preservare i piccoli vasi che dal dartos riforniscono di sangue la parte più distale della cute peniena, il prepuzio, facilmente suscettibile di ischemia durante la fase di degloving (Fig.…”

Section: Discussioneunclassified

“…Tuttavia questo approccio ha sempre posto tre ordini di problemi al chirurgo:1) l'alto rischio di edema linfatico per interruzione circolare dei dotti linfatici distali prepuziali; 2) la diminuzione della sensibilità del glande; 3) il rischio di ischemia distale della pelle (13)(14)(15). Una circoncisione pre o post-operatoria può essere proposta per ridurre tali rischi o per correggere eventuali parafimosi successive (Fig.…”

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Trans-Scrotal Penile Degloving, a New Procedure for Corporoplasties

Austoni

Altieri²,

Tenaglia³

2012

Urologia

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“…Publikacijose apie įgimtą varpos kreivumą dominuoja chirurginių technikų palyginimas ir pooperacinių komplikacijų bei atokių gydymo rezultatų aptarimas [24]. Literatūros duomenimis, įgimtas varpos kreivumas dažniausiai operuojamass antrajame, trečiajame gyvenimo dešimtmety-je [25].…”

Section: Diskusijaunclassified

Įgimtų varpos deformacijų chirurginio gydymo aspektai

Žalimas

Matulevičius

Ramonas

et al. 2015

Medicinos Teorija Ir Praktika

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Po operacijos pagal Nesbito komplikacijos išsivystė 5 (10,2 proc.) pacientams, be komplikacijų operacija praėjo 44 (89,8 proc.) pacientams. Grupėje, kurioje komplikacijų nenustatyta, vidutinė operacijos trukmė -85,14 ± 20,59 min., o grupėje, kuroje išsivystė pooperacinės komplikacijos, -90 ± 43,78 min., kai p = 0,693. Grupėje, kurioje išsivystė komplikacijos, vidutinis akytkūniuose išpjautų langų skaičius -3,75 ± 2,06, o grupėje, kurioje komplikacijų nenustatyta, -4 ± 2, kai p = 0,817. Pacientams, kuriems atlikta simetrinė varpos plastika, vidutinė operacijos trukmė buvo 92,50 ± 20,6 min., o grupėje, kurioje asimetrinė -70,42 ± 22,2 min., kai p = 0,004. Vidutinė hospitalizacijos trukmė -5,2 ± 4,91 dienos. Išvados. Įgimto varpos kreivumo chirurginis gydymas pagal Nesbito yra efektyvus metodas siekiant ištiesinti varpą. Įgimtas varpos kreivumas dažniausiai operuojamas jauniems, lytiškai aktyviems pacientams, dėl to nuo operacijos sėkmės priklauso psichologinė ir seksualinė paciento gyvenimo kokybė. aBstract Key words: congenital penile curvature, penile plastic surgery, surgical treatment. Objective. The main purpose of this study is evaluate surgical treatment results of congenital penile curvature at Vilnius university hospital Santariskiu klinikos Urology center. Patients and methods. From 1999 to 2014, Vilnius University Hospital Urology Center, 50 patients were surgical treated for congenital penile curvature. 49 of them it was made by Nesbit and only for one was performed penile lengthening and straightening surgical treatment. Before surgery by used sol. saline which cause an erection was evaluated fault location, size and depth of the penis curvature. Results. From 1999 to 2014, Vilnius University Hospital Urology Center was performed 49 operations by Nesbit, for clinical diagnosis of congenital penile curvature. The average age of 22.7 ± 29.4 years (the youngest -17 years old, the oldest -40 years old patient). With ventral deviation were 20 (40.0 %) patients, lateral -15 (30.0 %) patients, dorsal -7 (14.0 %), and for 8 (16.0 %) patients were diagnosed mixed deviation. The highest measured the tilt angle of the penis before the surgery -was 90°, the minimum -15°. After surgery by Nesbit, complications developed in 5 (10.2%) patients, without compli-

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Management of Congenital Penile Curvature

Cited by 38 publications

References 11 publications

Do adult men with untreated ventral penile curvature have adverse outcomes?

Do adult men with untreated ventral penile curvature have adverse outcomes?

Trans-Scrotal Penile Degloving, a New Procedure for Corporoplasties

Įgimtų varpos deformacijų chirurginio gydymo aspektai

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