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Inicio Actas Urológicas Españolas (English Edition) The factors that cause penile shortening after plication surgery in patients wit...
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Vol. 47. Issue 2.
Pages 99-103 (March 2023)
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Vol. 47. Issue 2.
Pages 99-103 (March 2023)
Original article
The factors that cause penile shortening after plication surgery in patients with congenital penile curvature
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3
C. Sahina, C. Yesildalb,
Corresponding author
c_yesildal@hotmail.com

Corresponding author.
a Private Ada Tip Hospital, Istanbul, Turkey
b University of Health and Science Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey
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Statistics
Tables (5)
Table 1. Number of patients by degree and location.
Table 2. Pre and post-operative penis lengths and shortening percentages, according to the curvature directions.
Table 3. Pre and post-operative penis lengths and shortening percentages, according to the curvature degree.
Table 4. Pre and post-operative penis lengths and shortening percentages, according to the direction of the curvature and degree.
Table 5. Statistics comparison according to curvature direction and degree.
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Abstract
Objective

Congenital penile curvature is defined as the non-straightness of the penis without any urethral or penile pathology. We aimed to evaluate the factors that cause penile shortening after plication surgery in patients with congenital penile curvature.

Methods

Between November 2010 and December 2020, we retrospectively reviewed patients with CPC undergoing tunica albuginea plication surgery. Before the procedure, patients' age, curvature location and degrees, as well as penile length were recorded. After the treatment, penile lengths were measured and recorded again. Early and late period results were recorded.

Results

Plication surgery was performed in 130 patients. The median age was 24 years.

Seventy-six patients had ventral curvature, 22 had dorsal curvature, 32 had lateral curvature. Average shortening of penile length in patients with curvature below 30° was: ventral 8−16 mm, dorsal 6−13 mm, lateral 5−12 mm. Patients with curvatures above 30° were: ventral 12−22 mm, dorsal 8−20 mm, lateral 2−12 mm.

Conclusion

Penile length shortening after plication is inevitable. Curvature degree and direction are factors affecting penile length after surgery. Therefore, patients and relatives should be informed in more detail about this complication.

Keywords:
Congenital penile curvature
Plication surgery
Penile length
Resumen
Objetivo

La incurvación peneana congénita se define como la incurvación del pene en ausencia de patología uretral o peneana. Nuestro objetivo es evaluar los factores causantes del acortamiento del pene después de la plicatura en pacientes con incurvación peneana congénita.

Métodos

Entre noviembre de 2010 y diciembre de 2020 revisamos de forma retrospectiva a los pacientes con incurvación peneana congénita que se sometieron a una cirugía mediante técnica de plicatura de la túnica albugínea. Antes del procedimiento, se registró la edad de los pacientes, la ubicación y los grados de la desviación, y la longitud del pene. Tras el tratamiento se midió y registró de nuevo la longitud del pene. Se registraron los resultados de los períodos inicial y final.

Resultados

Se realizó cirugía con plicatura en 130 pacientes. La media de edad era de 24 años.

Setenta y seis pacientes tenían incurvación ventral, 22 dorsal y 32 lateral. El acortamiento medio de la longitud del pene en aquellos pacientes con incurvación inferior a 30° fue: ventral 8−16 mm, dorsal 6−13 mm, lateral 5−12 mm. En los pacientes con incurvación superior a 30° fue: ventral 12−22 mm., dorsal 8−20 mm., lateral 2−12 mm.

Conclusión

El acortamiento del pene después de la plicatura es inevitable. El grado y la dirección de la desviación son factores que afectan la longitud del pene después de la operación. Por lo tanto, los pacientes y sus familiares deben recibir información detallada sobre esta complicación.

Palabras clave:
Incurvación congénita del pene
Cirugía con plicatura
Longitud del pene

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