An original mininvasive corporoplasty technique for penile curvature without circumcision
Objective: We describe an original minimally invasive penile plication technique with scrotal or infrapubic access, not requiring circumcision, for penile curvature of different severity and types. This technique can be used to correct both congenital and acquired curvatures, mono or bidirectional...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2022-09-01
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| Series: | Archivio Italiano di Urologia e Andrologia |
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| Online Access: | https://www.pagepressjournals.org/index.php/aiua/article/view/10864 |
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| author | Antonio Rossi Giovanni Alei Pietro Viscuso Antonio Tufano Marco Frisenda Guglielmo Mantica Pierluigi Bove Rosario Leonardi Mauro De Dominicis Alessandro Calarco |
| author_facet | Antonio Rossi Giovanni Alei Pietro Viscuso Antonio Tufano Marco Frisenda Guglielmo Mantica Pierluigi Bove Rosario Leonardi Mauro De Dominicis Alessandro Calarco |
| author_sort | Antonio Rossi |
| collection | DOAJ |
| description |
Objective: We describe an original minimally invasive penile plication technique with scrotal or infrapubic access, not requiring circumcision, for penile curvature of different severity and types. This technique can be used to correct both congenital and acquired curvatures, mono or bidirectional deformities.
Materials and methods: Between 2012 and 2018 we treated 134 patients suffering from congenital curvature (33) and acquired curvature from Peyronie's disease (101). The average curvature was 62.2° (± 30.4°). Preoperative evaluation included prostaglandin E1 injection with photographic documentation and measurement of penile angulation, administration of IIEF- 15, vasoactive penile Doppler ultrasound, analysis of thermal and vibratory sensitivity with Genito-Sensory-Analyzer (GSA) and assessment of nocturnal penile stiffness with Rigiscan, performed twice, for a detailed evaluation of patient’s erectile function. Scrotal access was performed in patients with dorsal and/or lateral penile curvature; the infrapubic access was performed in patients with ventral curvature. After preparation and incision of Colles’ fascia, penis was partially degloved and an original plication technique called "binary corporoplasty" was performed at the site or sites established at preoperative assessment, with non-resorbable synthetic multifilament (Premicron®) suture.
Results: Complete correction of penile curvature was achieved in 96.8 % of patients. No major complications were reported, and no patients suffered worsening in erectile function or in penile sensitivity. The average shortening of convex side was 1.65 cm (± 0.7 cm) and all patients report easy intercourse after correction. The average time of surgery was 46 minutes (± 11 min) and all procedures were performed as a day-hospital or ambulatory settings, with local anesthesia and light sedation. Overall satisfaction rate is 96%.
Conclusions: This is a simple and rapid technique that perfectly corrects even the most severe and complex penile curvatures. In comparison to traditional techniques, such as Nesbit procedure, this technique is associated with low morbidity, a very low recurrence rate and a great aesthetic results. Aesthetic and functional patients’ satisfaction was excellent.
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| first_indexed | 2024-04-12T18:17:20Z |
| format | Article |
| id | doaj.art-ea4834f2ce77458b8633977337f65263 |
| institution | Directory Open Access Journal |
| issn | 1124-3562 2282-4197 |
| language | English |
| last_indexed | 2024-04-12T18:17:20Z |
| publishDate | 2022-09-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Archivio Italiano di Urologia e Andrologia |
| spelling | doaj.art-ea4834f2ce77458b8633977337f652632022-12-22T03:21:34ZengPAGEPress PublicationsArchivio Italiano di Urologia e Andrologia1124-35622282-41972022-09-0194310.4081/aiua.2022.3.334An original mininvasive corporoplasty technique for penile curvature without circumcisionAntonio Rossi0Giovanni Alei1Pietro Viscuso2Antonio Tufano3Marco Frisenda4Guglielmo Mantica5Pierluigi Bove6Rosario Leonardi7Mauro De Dominicis8Alessandro Calarco9Department of Urology, “Cristo Re” Hospital, RomeDepartment of Plastic and Reconstructive Surgery, "Sapienza" Rome University, Policlinico Umberto I Hospital, RomeDepartment of Maternal-Infant and Urological Sciences, "Sapienza" Rome University, Policlinico Umberto I Hospital, RomeDepartment of Maternal-Infant and Urological Sciences, "Sapienza" Rome University, Policlinico Umberto I Hospital, RomeDepartment of Maternal-Infant and Urological Sciences, "Sapienza" Rome University, Policlinico Umberto I Hospital, RomePoliclinico San Martino, GenovaSan Carlo di Nancy Hospital, RomaCasa di Cura Musumeci-Gecas, Gravina di Catania (CT)Department of Urology, “Cristo Re” Hospital, RomeDepartment of Urology, “Cristo Re” Hospital, Rome Objective: We describe an original minimally invasive penile plication technique with scrotal or infrapubic access, not requiring circumcision, for penile curvature of different severity and types. This technique can be used to correct both congenital and acquired curvatures, mono or bidirectional deformities. Materials and methods: Between 2012 and 2018 we treated 134 patients suffering from congenital curvature (33) and acquired curvature from Peyronie's disease (101). The average curvature was 62.2° (± 30.4°). Preoperative evaluation included prostaglandin E1 injection with photographic documentation and measurement of penile angulation, administration of IIEF- 15, vasoactive penile Doppler ultrasound, analysis of thermal and vibratory sensitivity with Genito-Sensory-Analyzer (GSA) and assessment of nocturnal penile stiffness with Rigiscan, performed twice, for a detailed evaluation of patient’s erectile function. Scrotal access was performed in patients with dorsal and/or lateral penile curvature; the infrapubic access was performed in patients with ventral curvature. After preparation and incision of Colles’ fascia, penis was partially degloved and an original plication technique called "binary corporoplasty" was performed at the site or sites established at preoperative assessment, with non-resorbable synthetic multifilament (Premicron®) suture. Results: Complete correction of penile curvature was achieved in 96.8 % of patients. No major complications were reported, and no patients suffered worsening in erectile function or in penile sensitivity. The average shortening of convex side was 1.65 cm (± 0.7 cm) and all patients report easy intercourse after correction. The average time of surgery was 46 minutes (± 11 min) and all procedures were performed as a day-hospital or ambulatory settings, with local anesthesia and light sedation. Overall satisfaction rate is 96%. Conclusions: This is a simple and rapid technique that perfectly corrects even the most severe and complex penile curvatures. In comparison to traditional techniques, such as Nesbit procedure, this technique is associated with low morbidity, a very low recurrence rate and a great aesthetic results. Aesthetic and functional patients’ satisfaction was excellent. https://www.pagepressjournals.org/index.php/aiua/article/view/10864corporoplastyinduratio penis plasticapeyronie's diseasepenis diseaserecurvatum |
| spellingShingle | Antonio Rossi Giovanni Alei Pietro Viscuso Antonio Tufano Marco Frisenda Guglielmo Mantica Pierluigi Bove Rosario Leonardi Mauro De Dominicis Alessandro Calarco An original mininvasive corporoplasty technique for penile curvature without circumcision Archivio Italiano di Urologia e Andrologia corporoplasty induratio penis plastica peyronie's disease penis disease recurvatum |
| title | An original mininvasive corporoplasty technique for penile curvature without circumcision |
| title_full | An original mininvasive corporoplasty technique for penile curvature without circumcision |
| title_fullStr | An original mininvasive corporoplasty technique for penile curvature without circumcision |
| title_full_unstemmed | An original mininvasive corporoplasty technique for penile curvature without circumcision |
| title_short | An original mininvasive corporoplasty technique for penile curvature without circumcision |
| title_sort | original mininvasive corporoplasty technique for penile curvature without circumcision |
| topic | corporoplasty induratio penis plastica peyronie's disease penis disease recurvatum |
| url | https://www.pagepressjournals.org/index.php/aiua/article/view/10864 |
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