JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2014, Vol. 52 ›› Issue (10): 86-89.doi: 10.6040/j.issn.1671-7554.0.2014.152

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Surgical treatment experience of congenital simple penile curvature

LU Fuding1, XUAN Xujun1,2, XU Kewei1, BI Liangkuan1   

  1. 1. Department of Urology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, Guangdong, China;
    2. Department of Urology and Andrology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250012, Shandong, China
  • Received:2014-03-19 Revised:2014-09-18 Online:2014-10-10 Published:2014-10-10

Abstract: Objective To investigate the management of congenital simple penile curvature, exploring the choice of surgical approaches and the prevention of complications. Methods Degloving of penile shaft, urethral remission and albuginea fold suture were performed in 26 cases of simple penis deformity, including 14 cases of type Ⅱ and 12 cases of type Ⅲ. The patients' average age was 14 years. All patients used Bactroban to prevent infection after operation. Results All patients were successfully operated on and discharged from hospital 7 d~10 d after operation. Of them, 25 cases recovered after the first session, 1 case burned his wound by alcohol and recovered 1 month later. During the follow-up of 54 months, all penis were completely straight without any recurrence, and none needed a second operation. Conclusion The degloving of penile shaft, urethral remission combined with albuginea fold suture is effective for patients with congenital islated penile curvature. It is advisable to select the appropriate surgical procedure according to the type and severity of penile curvature, thus to ensure the length and erectile function of the penis. Bactroban ointment used postoperatively is a good way to prevent infection.

Key words: Penis deformity, Simplicity, Complication, Surgery

CLC Number: 

  • R697.1
[1] 朱选文, 钟达川, 郭君平, 等. 阴茎弯曲的诊断及外科治疗(附25例报告)[J]. 中国男科学杂志, 2008, 22(3): 19-21. ZHU Xuanwen, ZHONG Dachuan, GUO Junping, et al. Diagnosis and surgical treatment of Penile curvature (report of 25 cases)[J]. Chinese Journal of Andrology, 2008, 22(3): 19-21.
[2] Snodgrass W T. Management of penile curvature in children[J]. Curr Opin Urol, 2008, 18(4): 431-435.
[3] Montag S, Palmer L S. Abnormalities of penile curvature: chordee and penile torsion[J]. Scientific World Journal, 2011, 11: 1470-1478.
[4] Kelemen Z. Reconstructive surgery of penile deformities and tissue deficiencies[J]. Orv Hetil, 2009, 150(22): 1023-1029.
[5] Hayn M H, Bellinger M F, Schneck F X. Small intestine submucosa as a corporal body graft in the repair of severe chordee[J]. Urology, 2009, 73(2): 277-279.
[6] Stojanovic B, Bizic M, Majstorovic M, et al. Penile curvature incidence in hypospadias: can it be determined?[J]. Adv Urol, 2011: 813205. doi: 10.1155/2011/813205.
[7] Kramer S A, Aydin G, Kelalis P P. Chordee without hypospadias in children[J]. J Urol. 1982, 128(3): 559-561.
[8] 黄华刚, 郭骏, 周建方, 等. 3例单纯性阴茎弯曲的治疗[J]. 贵阳医学院学报, 2010, 35(1): 105-106. HUANG Huagang, GUO Jun, ZHOU Jianfang, et al. Treatment of three cases simple penile curvature[J]. Journal of Guiyang Medical College, 2010, 35(1): 105-106.
[9] Xu N, Xue X Y, Li X D, et al. Comparative outcomes of the tubularized incised plate and transverse island flap onlay techniques for the repair of proximal hypospadias[J]. Int Urol Nephrol, 2014, 46(3): 487-491.
[10] Hsieh J T, Liu S P, Chen Y, et al. Correction of congenital penile curvature using modified tunical plication with absorbable sutures: the long-term outcome and patient satisfaction[J]. Eur Urol, 2007, 52(1): 261-267.
[11] Colpi G, Piediferro G, Castiglioni F, et al. Penile septoplasty for congenital ventral penile curvature: results in 51 patients[J]. J Urol, 2009, 182(4): 1489-1494.
[12] Baskin L S, Erol A, Li Y W, et al. Anatomical studies of hypospadias[J]. J Urol, 1998, 160(32): 1108-1115.
[13] Castagnetti M, El-Ghoneimi A. The influence of perioperative factors on primary severe hypospadias repair[J]. Nat Rev Urol, 2011, 8(4): 198-206.
[14] Makovey I, Higuchi T T, Montague D K, et al. Congenital Penile Curvature: Update and Management[J]. Curr Urol Rep, 2012, 13(4): 290-297.
[15] Kuehhas F E, Egydio P H. Superficial tunica albuginea excision, using geometric principles, for the correction of congenital penile curvature[J]. BJU Int, 2012, 110(11C): 949-953.
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