Midline Dorsal Plication Technique for Penile Curvature Repair

Bar-Yosef, Yuval; Binyamini, Joseph; Matzkin, Haim; Ben‐Chaim, Jacob

doi:10.1097/01.ju.0000138341.68365.b6

Cited by 25 publications

(16 citation statements)

References 8 publications

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“…According to his anatomical studies, dissection in the dorsal aspect beyond 1–11 O’clock has a higher risk of injuring the nerve pedicle. The dorsal plication is performed with one or two parallel stitches, and, good results have also been reported by other surgeons ( 32 , 33 ).…”

Section: Dorsal Plication Techniquementioning

confidence: 75%

“…Some potential disadvantages with the Baskin technique include the presence of dorsal suture (which may be bothersome for some patients) and limited effectiveness when used in older patients as these sutures may not support the pressure exerted by erections in these patients during intercourse ( 34 ). In patients with low-grade curvature, recurrence of penile curvature after plication on the dorsal surface was reported in 7% of patients ( 32 ).…”

Section: Dorsal Plication Techniquementioning

confidence: 99%

“…In this site, the nerve supply is not encountered and the tunica albuginea is thicker. Recurrence rates using this technique in patients with low-grade curvature was reported as 7% ( 32 ).…”

Section: Key Pointsmentioning

confidence: 99%

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Management of High-Grade Penile Curvature Associated With Hypospadias in Children

2017

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Penile curvature is a frequent feature associated with hypospadias with also a great variability of severity among each patient. While the low-grade curvature (<30°) can be relatively easily corrected by simple techniques like penile degloving and dorsal plication, severe cases often demand more complex maneuvers to manage it. A great number of surgical techniques have been developed to adequately correct curvatures greater than 30°; however, each one of them should be individualized to different patients and local conditions encountered. In this article, we will review the evaluation of the pediatric patient with penile curvature associated with hypospadias with a special attention to high-grade cases, their management, indications for surgical treatment, and several surgical options for their definitive treatment.

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Section: Dorsal Plication Techniquementioning

confidence: 75%

Section: Dorsal Plication Techniquementioning

confidence: 99%

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Management of High-Grade Penile Curvature Associated With Hypospadias in Children

2017

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“…There are many techniques described for the repair of penile curvature with or without hypospadias. [13][14][15][16][17][18][19] The incidence of penile curvature associated with hypospadias is not clear. Baskin et al 20,21 found significant penile curvature in 25% of patients after releasing the skin and dartos in patients with hypospadias who underwent island flap reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Should We Routinely Test for Chordee in Patients with Distal Hypospadias?

et al. 2014

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“…When the penile curvature repair is performed, the midline dorsal penile plication technique involves the mobilization of the right and left neurovascular bundle. Near the pubic bone, nervus dorsalis penis can be easily contused or traversed [55].…”

Section: Clinical Considerations Of Nervus Dorsalis Penis/clitoridismentioning

confidence: 99%

Clinical Implications of a Close Vicinity of Nervus Dorsalis Penis/Clitoridis and Os Pubis

Šedý

Naňka

Špačková

et al. 2008

The Journal of Sexual Medicine

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Introduction Close relation of nervus dorsalis penis/clitoris and os pubis has a major impact in surgical disciplines. Aim To summarize a current knowledge about this region, represented by the course of sulcus nervi dorsalis penis/clitoridis. Methods Literature search of years 1970–2007. Main Outcome Measures In male, it accommodates nervus dorsalis penis whereas in female nervus et arteria dorsalis clitoridis. Lateral border of sulcus nervi dorsalis penis corresponds to vertical ridge and lateral border of sulcus nervi dorsalis clitoridis to ventral arc—two parameters, which are parts of the Phenice's method for sexing of isolated os pubis. Results Exact preparation of nervus dorsalis penis is crucial in correct performance of conversion of genitalia in patients with transsexualism, in reconstruction of posterior urethra, in hypospadia, during performance of penile blockade during circumcision and in revascularization surgery of erectile dysfunction. Possible role of the sulcus nervi dorsalis penis in the Alcock's syndrome is discussed. Similarly, it is advisable to take care of nervus dorsalis clitoridis during reduction clitoridoplasty in patients with adrenogenital syndrome and during the insertion of transobturator vaginal tape. Injury of nervus dorsalis penis/clitoridis leads to hypestesia or anestesia of glans penis/clitoridis. The injury to arteria dorsalis clitoridis leads to bleeding and/or hematoma. Conclusions Clinical anatomy of sulci is important in several situations in urologic surgery. It is possible to use sulcus nervi dorsalis penis/clitoridis for sexing of isolated pubis for antropological or forensic purposes.

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Midline Dorsal Plication Technique for Penile Curvature Repair

Abstract: Midline dorsal penile plication is a safe, simple to perform procedure that achieves excellent results in patients with mild to moderate curvature. It is a useful technique in patients in who previous repairs have failed. We suggest other repair techniques for severe curvature.

Cited by 25 publications

References 8 publications

Management of High-Grade Penile Curvature Associated With Hypospadias in Children

Management of High-Grade Penile Curvature Associated With Hypospadias in Children

Should We Routinely Test for Chordee in Patients with Distal Hypospadias?

Clinical Implications of a Close Vicinity of Nervus Dorsalis Penis/Clitoridis and Os Pubis

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