Plication for Correction of Congenital Penile Curvature: With or Without Degloving?

Samuel B. Kusin, BA; Roger K. Khouri, Jr., MD; Benjamin M. Dropkin, MD; Peter N. Dietrich, MD; Ellen E. Ward, BS; Adam S. Baumgarten, MD; Jagan K. Kansal, MD; Amy I. Guise, MD; Allen F. Morey, MD

Sexual Medicine (Dec 2021)

Plication for Correction of Congenital Penile Curvature: With or Without Degloving?

Samuel B. Kusin, BA,
Roger K. Khouri, Jr., MD,
Benjamin M. Dropkin, MD,
Peter N. Dietrich, MD,
Ellen E. Ward, BS,
Adam S. Baumgarten, MD,
Jagan K. Kansal, MD,
Amy I. Guise, MD,
Allen F. Morey, MD

Affiliations

Samuel B. Kusin, BA: Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX, USA
Roger K. Khouri, Jr., MD: Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX, USA
Benjamin M. Dropkin, MD: Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX, USA
Peter N. Dietrich, MD: Department of Urology, Medical College of Wisconsin, Milwaukee, WI, USA
Ellen E. Ward, BS: Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX, USA
Adam S. Baumgarten, MD: Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX, USA
Jagan K. Kansal, MD: Department of Urology, Medical College of Wisconsin, Milwaukee, WI, USA
Amy I. Guise, MD: Department of Urology, Medical College of Wisconsin, Milwaukee, WI, USA
Allen F. Morey, MD: Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX, USA; Corresponding Author: Allen F. Morey, MD, Department of Urology, UT Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390-9110, Telephone: (214) 648-5698, Fax: (214) 648-6310.

Journal volume & issue: Vol. 9, no. 6
p. 100462

Abstract

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ABSTRACT: Introduction: Previously, incisionless plication (IP) for correction of congenital penile curvature (CPC) has been performed after penile degloving via a circumscribing incision. Aim: To describe our experience with non-degloving incisionless penile plication (NDIP) for correction of CPC and compare these outcomes with those of men who underwent degloving incisionless penile plication (DIP). Methods: We conducted a retrospective review of men ≤ 45 years of age who underwent incisionless penile plication for correction of CPC between 2008 and 2020 at two adult tertiary hospitals. Patients underwent either NDIP, performed through a 2-3 cm longitudinal incision along the proximal-to-mid shaft opposite the point of maximum penile curvature, or DIP via a sub-coronal circumscribing incision. Main Outcome Measures: Surgical and patient-reported outcomes were compared between the non-degloving and degloving groups. Results: Among the 38 men (mean age, 26 years) who met the inclusion criteria, 25 underwent NDIP, including 6 patients with biplanar curvature (2 Ventral, 4 Dorsal, 6 Lateral). Thirteen patients underwent DIP, including 1 patient with biplanar curvature (1 ventral, 1 lateral). Curvature reduction was 50 ± 23 degrees for the NDIP group and 36 ± 10 degrees for the DIP group (P = .04). Five (20%) patients in the NDIP group and nine (69%) patients in the DIP group experienced a reduction in stretched penile length following plication (SPL) (P = .01). One patient in the NDIP group underwent an additional plication for recurrent curvature. Conclusion: Both NDIP and DIP are safe and highly efficacious techniques for the correction of CPC.Kusin SB, Khouri RK, Dropkin BM, et al., Plication for Correction of Congenital Penile Curvature: With or Without Degloving?. Sex Med 2021;9:100462.

Published in Sexual Medicine

ISSN: 2050-1161 (Online)
Publisher: Oxford University Press
Country of publisher: United Kingdom
LCC subjects: Medicine
Website: https://academic.oup.com/smoa

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