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Reconstructive surgery for recurrent penile curvature

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Abstract

Purpose

There are surprisingly few reports about reconstructive surgery for severe recurrent/persistent penile curvature (redo-PC). We present our experience.

Methods

We reviewed 9 redo-PC cases we treated between 1998 and 2016.

Results

Cases 1–3 and 5 were identified from 111 consecutive hypospadias patients we treated between 1998 and 2016 (4/111; 3.6%). Cases 4 and 6–9 had initial surgery elsewhere. Initial PC was severe (> 45°; n = 5), moderate (30°-45°; n = 1), or unknown (n = 3), treated by dorsal plication (DP) in 4/9 (cases 1–4), chordectomy in 2/9 (cases 5, 6), and unknown in 3/9 (cases 7–9); no case had tunica albuginea incision (TAI). Straightening after initial surgery was confirmed by artificial erection (AE) in 4/9, not confirmed (2/9), and unknown (3/9). Cases 1, 2, 7 and 8 had had previous failed redos. Scarring of buccal mucosa used for urethroplasty caused worse PC in cases 7 and 9. After TAI (n = 6; cases 1, 3–6, and 8) or scar removal with DP (n = 3; cases 2, 7, and 9), AE confirmed successful straightening in all cases, without sequelae after a mean follow-up of 2.6 years.

Conclusion

TAI was most effective for redo-PC surgery. Preoperative AE and examination under anesthesia should be used to customize treatment.

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Authors and Affiliations

  1. Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan

    Masahiro Takeda, Shogo Seo, Ryo Sueyoshi, Hiroki Nakamura, Kazuto Suda, Geoffrey J. Lane & Atsuyuki Yamataka

Authors
  1. Masahiro Takeda
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  2. Shogo Seo
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  3. Ryo Sueyoshi
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  4. Hiroki Nakamura
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  5. Kazuto Suda
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  6. Geoffrey J. Lane
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  7. Atsuyuki Yamataka
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Corresponding author

Correspondence to Masahiro Takeda.

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Takeda, M., Seo, S., Sueyoshi, R. et al. Reconstructive surgery for recurrent penile curvature. Pediatr Surg Int 34, 245–248 (2018). https://doi.org/10.1007/s00383-017-4199-8

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  • DOI: https://doi.org/10.1007/s00383-017-4199-8

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