Abstract
ABSTRACTObjective:The aim of this study is to analyze post pubertal results of pre pubertal tunica albuginea plication with non-absorbable sutures in the correction of CPC.Materials and Methods:The files of patients who underwent tunica albuginea plication without incision (dorsal/lateral) were retrospectively reviewed. Patients younger than 13 years of age at the time of operation and older than 14 years of age in November 2015 were included. Patients with a penile curvature of less than 30 degrees & more than 45 degrees and penile/urethral anomalies were excluded. All of the patients underwent surgery followed by circumcision.Results:The mean age of patients at the time of the operation was 9.7 years (range, 6-13 years). The mean degree of ventral penile curvature measured during the operation was 39 degrees while it was 41 degrees in the lateral curvatures. All of the patients were curvature-free at the end of the operation. At the time of the follow-up examination, the mean age was 16.7 years (range, 14-25 years). Six patients had a straight (0-10 degrees) penis during erection and seven patients had recurrent penile curvatures ranging from 30 to 50 degrees.Conclusion:Pre pubertal tunica albuginea plication of congenital penile curvature (30-45 degrees) with non-absorbable sutures performed without incision is a minimal invasive method especially when performed during circumcision. However, recurrence might be observed in half of the patients after puberty.
Highlights
Congenital penile curvature (CPC) is a condition in which the erect penis is not straight and there are no urethral or penile anomalies such as epispadias or epispadias
The prevalence of CPC ranges between 0.040.6% [2, 3]
CPC may be recognized in early childhood by parents during morning erections, but it is more often diagnosed during puberty when the erections become frequent and the penis enlarges
Summary
Congenital penile curvature (CPC) is a condition in which the erect penis is not straight and there are no urethral or penile anomalies such as epispadias or epispadias. But it can be dorsal, lateral or mixed [1]. The prevalence of CPC ranges between 0.040.6% [2, 3]. Abnormal Buck’s or Dartos fascia, corporeal body disproportion, and rarely, short urethra are thought to play a role in the etiology [4]. CPC may be recognized in early childhood by parents during morning erections, but it is more often diagnosed during puberty when the erections become frequent and the penis enlarges. CPC might decrease the individual’s quality of life after adolescence by causing esthetic, functional, and psychological problems
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