Modified Corporoplasty for Ventral Penile Curvature: Description of the Technique and Initial Results

Abstract

We report our initial results with an original modification of Yachia corporoplasty to correct congenital and acquired ventral penile deviations. A total of 12 patients with congenital or acquired ventral curvature of the penis underwent modified corporoplasty. The surgical procedure, which was performed during artificial erection, consists of Yachia plasty done in the bed of the deep dorsal vein, which was previously resected. To our knowledge the procedure that we describe is the only corporoplasty for ventral deviation that does not require any manipulation of the neurovascular bundle but ensures at the same time definitive coalescence of the tunical edges. Penile curvature was completely eliminated in all patients. No change in erectile function was reported by 11 patients (92%). Eight patients (67%) reported penile shortening (1 to 2.5 cm) but the decreased length did not cause interference with sexual activity. No other surgery related complication, such as pain or loss of sensitivity, was reported. Ten of the 12 patients interviewed (83%) reported full satisfaction with the results. Two patients (17%) reported partial satisfaction. The modified Nesbit procedure that we propose allows complete and definitive correction of ventral penile curvature without any manipulation of the dorsal bundle. Excellent penile straightening and the lack of significant postoperative complications result in high patient satisfaction rates.