Parallel Incisions Procedure for Penile Curvature—Short Term Outcomes

Abstract

Objective: A modified corporotomy technique has been developed in order to overcome the problems of previous techniques such as tissue removal, urethral mobilisation, palpable knots, ‘dog ears’ and leakage on testing after repair. Our objective is to describe the technique and review the outcomes in the short term. Methods: The procedure involves two transverse parallel incisions at the bite points of Allis forceps used to correct curvature. The intervening tunica is buried, sealing the incision and preventing leakage. The incision is closed with 2–0 Polydioxanone sutures and a single 2–0 Polyglycolic to maintain knot burial. Data were collected retrospectively on all patients undergoing this technique from our department. Results: Thirty-two patients underwent daycase surgery. Mean duration of disease was 12.5 months. At three months the cosmetic result was excellent (straight) or good (<20° bend) in 97%. Patient satisfaction was high with 87% being happy with the outcome and 88% able to have pain free intercourse. Complications of note included glans numbness in 1 patient and chronic granuloma related to suture placement requiring excision in 1 patient. Conclusions: The modified parallel incisions procedure is easy to perform and is efficacious in the short term with good cosmetic results and high patient satisfaction. Longer term follow-up is planned in a prospective fashion.