An Unanswered Question in Pediatric Urology: The Postpubertal Persistence of Prepubertal Congenital Penile Curvature Correction
Unsal Ozkuvanci, MD, Orhan Ziylan, MD, FEAPU, Muhammet İrfan Donmez, MD, Omer Baris Yucel, MD, Tayfun Oktar, MD, FEAPU, Haluk Ander, MD, Ismet Nane, MD.
Istanbul University İstanbul Faculty of Medicine, İstanbul, Turkey.
BACKGROUND: The aim of this study is to analyze post pubertal results of pre pubertal tunica albuginea plication with non-absorbable sutures in the correction of congenital penile curvature (CPC).
MATERIALS AND METHODS: The files of patients who underwent tunica albuginea plication (dorsal/lateral) were retrospectively reviewed. Patients who were younger than 13 years of age at the time of the operation and older than 14 in November 2015 were included. Patients with a penile curvature of less than 30º and penile/urethral anomalies were excluded. A physical examination was conducted, and patients were questioned about what they thought of their current penile curvature. We also asked parents to end us digital photos of the erect penis. Photos were digitally reviewed, the degree of curvature was measured. Thirteen patients who met the inclusion criteria were given a follow-up appointment. All of the patients underwent the surgery followed by circumcision. The mean age of patients at the time of the operation was 9.7years (range, 6-13years). The mean degree of ventral penile curvature measured during the operation was 39º while it was 41º in the lateral curvatures.
RESULTS: All of the patients were curvature-free at the end of the operation. At the time of the follow-up examination, the mean age was 16.7 years (range, 14-25 years). Six patients had a straight (0-10º) penis during erection and seven patients had recurrent penile curvatures ranging from 30 to 50 degrees.
CONCLUSION: Pre pubertal tunica albuginea plication with non-absorbable sutures performed without incision during circumcision is a minimal invasive method. However, recurrence might be observed in half of the patients after puberty.
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