Objective
To assess the postpubertal outcome of ventral penile curvature repaired in infancy
in terms of recurrence and aesthetics.
Materials and Methods
Postpubertal patients treated for hypospadias and ventral penile curvature in infancy
at a tertiary medical center were invited to undergo assessment of the quality of
the repair. Findings were compared between patients with a straight penis after skin
release and patients who required dorsal plication.
Results
The cohort included 27 patients of mean age 16.5 years who were reported with straight
penis after surgery. Postpubertal curvature was found in 6 of 14 patients (43%) successfully
treated by skin release and 10 of 13 patients (77%) who underwent dorsal plication
(P = .087). Significant curvature (≥30 degrees) was found in 1 of 14 patients in the
skin-release group and 4 of 13 in the dorsal plication group (P = .16). Rates of redo urethroplasty were 2 of 14 (14%) and 5 of 10 (50%), respectively.
Patient satisfaction with the appearance of the penis did not differ significantly.
Conclusion
Ventral penile curvature repaired in infancy often recurs after puberty. The need
for dorsal plication has a trend-level association with recurrence of penile curvature
in puberty. It might also be related to the degree of postpubertal penile curvature
and the need for redo urethroplasty. Procedure type does not affect patient satisfaction
with the postpubertal appearance of the penis.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to UrologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Hypospadias: surgery and complications.Horm Res Paediatr. 2010; 74: 218
- Proximal hypospadias.ScientificWorldJournal. 2011; 11: 894
- Tubularized incised plate hypospadias repair for distal hypospadias.J Pediatr Urol. 2010; 6: 408
- Straightening ventral curvature while preserving the urethral plate in proximal hypospadias repair.J Urol. 2009; 182: 1720
Snodgrass W., Bush N.C.. Hypospadias. In: Wein A., Kavoussi L., Novick A., et al., eds. Campbell-Walsh Urology E-Book, Vol. 4. 11th ed. Philadelphia, PA: Elsevier; 2016;4536.
- Dorsal tunica albuginea plication to correct congenital and acquired penile curvature: a long-term follow-up.BJU Int. 2004; 93: 379
- Management of penile curvature in children.Curr Opin Urol. 2008; 18: 431
- Histology of the urethral plate: implications for hypospadias repair.J Urol. 2000; 164: 988
- Modified technique of dorsal plication for penile curvature with or without hypospadias.Urology. 2002; 59: 584
Snodgrass W., Bush N.C.. Hypospadias. In: Wein A., Kavoussi L., Novick A., et al., eds. Campbell-Walsh Urology E-Book, Vol. 4. 11th ed. Philadelphia, PA: Elsevier; 2016;3403.
- European Association of Urology: EUA guidelines on penile curvature.Eur Urol. 2012; 62: 543
Article info
Publication history
Published online: October 16, 2017
Accepted:
October 3,
2017
Received:
August 1,
2017
Footnotes
Financial Disclosure: The authors declare that they have no relevant financial interests.
Identification
Copyright
© 2017 Elsevier Inc. All rights reserved.
