Modified technique of dorsal plication for penile curvature with or without hypospadias

Abstract

Objectives. Since Nesbit reported dorsal plication at the lateral aspect of each corpus cavernosum to straighten the bending penis, dorsal plication on each side of the penis at the 2-o’clock and 10-o’clock positions has been a mainstay for correction of congenital or acquired penile curvature. However, because only the 12-o’clock position proved to be the nerve-free zone as determined by the histologic research, Baskin advocated that dorsal plication be done at the 12-o’clock position. Methods. We performed plication at the 12-o’clock position of the corporeal body to repair penile curvature with and without hypospadias. We modified Baskin’s plication technique, approximating the outer edges of the incisions made through the tunica albuginea. Results. We repaired penile curvature with hypospadias in 10 patients and penile curvature without hypospadias in 3 patients, without complications. Conclusions. Penile curvature due to corporeal disproportion could be repaired by dorsal plication with incisions of the tunica at the 12-o’clock position, irrespective of the presence or absence of hypospadias.