Management of Congenital Penile Curvature

P. Nyírády, Zsolt Kelemen, Gergely Bánfi, András Rusz, Attila Majoros, I. Romics

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Purpose: The long-term results of the management in adulthood of congenital curvature of the penis (ventral, lateral and dorsal) without hypospadias using 3 different techniques are carefully evaluated based on our experience. Materials and Methods: A total of 116 patients were operated on for congenital curvature of the penis without hypospadias in adulthood between January 1985 and December 2004 of whom 87 (75%) (mean age 24 years) were available for evaluation by a telephone survey. A total of 54 ventral, 28 lateral and 5 dorsal penile curvatures were operated on with a mean followup of 89 months. Bend was managed with Nesbit's procedure in 18, plication in 7 and the Heineke-Mikulitz technique in 62 men. Results: There were no significant intraoperative or postoperative complications. Overall 81 of the 87 patients (93.1%) were successfully treated with 1 operation. Curvature recurrence was less common in patients treated with the Heineke-Mikulitz technique. There were no complaints of de novo erectile dysfunction, but 15 men complained of shortening of the penis and 4 experienced decreased sensation of the glans. Conclusions: Although feasible in cases of different types of congenital curvature, in our 20-year experience chordectomy always reduced the bend but patients could never completely straighten the penis by themselves. Surgical correction was reported by patients to be highly successful using the Heineke-Mikulitz technique, and statistical analysis revealed it to be significantly better than plication or the Nesbit procedure in terms of palpable nodules, recurrence and overall satisfaction.

Original languageEnglish
Pages (from-to)1495-1498
Number of pages4
JournalJournal of Urology
Volume179
Issue number4
DOIs
Publication statusPublished - Apr 2008

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Penis
Hypospadias
Recurrence
Intraoperative Complications
Erectile Dysfunction
Telephone

Keywords

  • congenital abnormalities
  • penile induration
  • penis

ASJC Scopus subject areas

  • Urology

Cite this

Management of Congenital Penile Curvature. / Nyírády, P.; Kelemen, Zsolt; Bánfi, Gergely; Rusz, András; Majoros, Attila; Romics, I.

In: Journal of Urology, Vol. 179, No. 4, 04.2008, p. 1495-1498.

Research output: Contribution to journalArticle

Nyírády, P, Kelemen, Z, Bánfi, G, Rusz, A, Majoros, A & Romics, I 2008, 'Management of Congenital Penile Curvature', Journal of Urology, vol. 179, no. 4, pp. 1495-1498. https://doi.org/10.1016/j.juro.2007.11.059
Nyírády, P. ; Kelemen, Zsolt ; Bánfi, Gergely ; Rusz, András ; Majoros, Attila ; Romics, I. / Management of Congenital Penile Curvature. In: Journal of Urology. 2008 ; Vol. 179, No. 4. pp. 1495-1498.
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