Correction of penile ventral curvature in patients with minor or no hypospadias: a single surgeon's experience of 43 cases.

Abstract

To report our experience of correcting penile ventral curvature associated with minor or no hypospadias. We reviewed 43 penile ventral curvature patients treated by a single surgeon from 1997 to 2015. Of these, 23 had minor hypospadias. Curvature was corrected using degloving, chordectomy, dorsal plication (DP), tunica albuginea incision (TAI), or a combination of these. Outcome was confirmed by induced artificial erection and post-operative appearance. Mean age at curvature correction was 3.2±2.6years. 17/43 had degloving and chordectomy (DC), 16/43 had DP after DC, and 10/43 had TAI after DC, because of ventral shortening and severe curvature caused by a short hypoplastic urethra. Other procedures required were primary meatoplasty (n=4) and urethroplasty (UP; n=1) at the time of curvature correction, and UP after correction of curvature (n=11). Complications included recurrence of curvature after DP (n=3/16; 18.8%) and urethral stenosis after UP with tubed peritoneum (n=1/10; 10%). There were no recurrences of curvature in TAI cases. Parents reported penile cosmesis as good (n=38; 88.4%), acceptable (n=4; 9.3%), or poor (n=1; 2.3%). We recommend TAI followed by UP for correcting penile ventral curvature with short hypoplastic urethra. Tubed peritoneum is not recommended for UP.