Skip to main content
SpringerLink
Log in

Plication corporoplasty versus Nesbit operation for the correction of congenital penile curvature. A long-term follow-up

  • Urology – Original Paper
  • Published:
International Urology and Nephrology Aims and scope Submit manuscript

Abstract

Background and objectives

Aim of the study is to evaluate the long-term results of tunica albuginea plication in patients with congenital curvature of the penis and to compare them with those obtained with the Nesbit technique.

Methods

Overall, 62 patients underwent surgical correction of congenital curvature of the penis from 2003 to 2008 at our institution. Of these, only 31 consented to be reevaluated. Nineteen patients had plication corporoplasty by means of one or more double crossed introflecting stitches (group A) while 12 patients had a traditional Nesbit technique with excision of small parts of tunica albuginea (group B). All patients were reevaluated with physical examination, a specific questionnaire and self-photography on erection, after a mean follow-up of 38 months in group A and 40 months in group B. Student’s t test was employed for statistical analyses.

Results

A total of 3 recurrences of curvature were observed in group A, 1–3 months after surgery, which required surgical correction. In all three patients, reabsorbable sutures had been employed for albuginea plication. No recurrences were observed in group B (P = 0.15). A minimal persistent deviation was present in 6 patients in group A (31%) and in 6 patients in group B (50%) (P = 0.29). A minimal hyposensitivity of glans and prepuce was reported in 7 patients in group A (38%) and in 9 patients in group B (75%) (P = 0.03).

Conclusions

Plication corporoplasty yields good and stable results when compared to the Nesbit technique provided that unabsorbable sutures are used and superficial scalpel incision of the albuginea is performed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Ebbehoj J, Metz P (1987) Congenital penile angulation. Br J Urol 60:264–266

    Article  PubMed  CAS  Google Scholar 

  2. Baskin LS, Duckett JW, Lue TF (1996) Penile curvature, review. Urology 48:347–356

    Article  PubMed  CAS  Google Scholar 

  3. Baskin LS, Lue TF (1998) The correction of congenital penile curvature in young men. Br J Urol 81:895–899

    Article  PubMed  CAS  Google Scholar 

  4. Laurenti C, de Dominicis C, Dal Forno S, Franco G, Iori F, Diosi D (1989) Torsioni ed incurvamenti congeniti del pene senza ipospadia in età pediatrica. In: Bologna (ed) Atti VI congress Naz. society Ital. Androl. Firenze, Monduzzi, pp 73–80

  5. Horton CE, Devine CJ Jr, McCraw JB, Gilbert DA (1985) Penile curvatures. Plast Reconstr Surg 75:752–759

    Article  PubMed  CAS  Google Scholar 

  6. Nesbit RM (1965) Congenital curvature of the phallus: report of three cases with description of corrective operation. J Urol 93:230–232

    PubMed  CAS  Google Scholar 

  7. Ebbenoj J, Metz P (1985) New operation for “krummerik” (penile curvature). Urology 26:76–78

    Article  Google Scholar 

  8. Kelami A (1987) Congenital penile deviation and its treatment with the Nesbit-Kelami technique. Br J Urol 60:261–263

    Article  PubMed  CAS  Google Scholar 

  9. Saalfeld J, Ehrlich RM, Gross JM, Kaufman JJ (1973) Congenital curvature of the penis. Successful results with variations in corporoplasty. J Urol 109:64–65

    PubMed  CAS  Google Scholar 

  10. Yachia D (1990) Modified corporoplasty for treatment of penile curvature. J Urol 143:80–82

    PubMed  CAS  Google Scholar 

  11. Goldstein M, Blumberg N (1988) Correction of severe penile curves with tunica albuginea autografts. J Urol 139:1269–1270

    PubMed  CAS  Google Scholar 

  12. Goldstein N (2002) Re: Corporoplasty using tunica albuginea free grafts for penile curvature: surgical technique and long-term results. J Urol 168:2134

    Article  PubMed  Google Scholar 

  13. Daitch JA, Angermeier KW, Montague DK (1999) Modified corporoplasty for penile curvature: long-term results and patient satisfaction. J Urol 162:2006–2009

    Article  PubMed  CAS  Google Scholar 

  14. Sassine AM, Wespes E, Shulman CC (1994) Modified corporoplasty for penile curvature: 10 years’ experience. Urology 44:419–421

    Article  PubMed  CAS  Google Scholar 

  15. Brake M, Keller H, Lamade F, Groh R, Horsch R (1999) Surgical correction of penile deviation. Nesbit vs. Shroeder-Essed method. Urologe A 38:264–269

    Article  PubMed  CAS  Google Scholar 

  16. Belgrano E, Liguori G, Trombetta C, Siracusano S (2000) Correction of complex penile deformities by modified Nesbit asymmetric tunica albuginea excision. Eur Urol 38:172–176

    Article  PubMed  CAS  Google Scholar 

  17. Savoca G, Scieri F, Pietropaolo F, Garaffa G, Belgrano E (2004) Strightening corporoplasty for Peyronie’s disease: a review of 218 patients with median follow-up of 89 months. Eur Urol 46:610–614

    Article  PubMed  Google Scholar 

  18. Andrews HO, al-Akraa M, Pryor JP, Ralph DJ (1999) The Nesbit operation for congenital curvatures of the penis. Int J Impot Res 11:119–122

    Article  PubMed  CAS  Google Scholar 

  19. Licht MR, Lewis RW (1997) Modified Nesbit procedure for the treatment of Peyronie’s disease: a comparative outcome analysis. J Urol 158:460–463

    Article  PubMed  CAS  Google Scholar 

  20. Poulsen J, Kirkeby HJ (1995) Treatment of penile curvature–a retrospective study of 175 patients operated with the Nesbit procedure. Br J Urol 75:370–374

    Article  PubMed  CAS  Google Scholar 

  21. Nooter RI, Bosh JL, Schroder FH (1994) Peyronie’s disease and congenital penile curvature: long-term results of the operative treatment with the placation procedure. Br J Urol 74:497–500

    Article  PubMed  CAS  Google Scholar 

  22. Chertin B, Koulikov D, Fridmans A, Farkas A (2004) Dorsal tunica albuginea placation to carrect congenital and acquired penile curvature: a long-term follow-up. BJU Int 93:379–381

    Article  PubMed  CAS  Google Scholar 

  23. Chien GW, Aboseif SR (2003) Corporeal placation for the treatment of congenital penile curvature. J Urol 169:599–602

    Article  PubMed  Google Scholar 

  24. Cormio L, Zizzi V, Bettocchi C, Berardi B, Sblendorio D, Traficante A et al (2002) Tunica albuginea plication for the correction of penile curvature. Scand J Urol Nephrol 36:307–310

    Article  PubMed  CAS  Google Scholar 

  25. Gholami SS, Lue TF (2002) Correction of penile curvature using the 16-dot placation technique: a review of 132 patients. J Urol 167:2066–2069

    Article  PubMed  Google Scholar 

  26. Giammusso B, Burrello M, Branchina A, Nicolosi F, Motta M (2004) Modified corporoplasty for ventral penile curvature: description of the technique and initial results. J Urol 171:1209–1211

    Article  PubMed  Google Scholar 

  27. Rolle L, Tamagnone A, Timpano M, Destefanis P, Fiori C, Fontana D (2005) The Nesbit operation for penile curvature: an easy and effective tecnical modification. J Urol 17:3171–3174

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department Of Urology, Sapienza University of Rome, Rome, Italy

    C. Leonardo, C. De Nunzio, P. Michetti, N. Tartaglia, A. Tubaro, C. De Dominicis & G. Franco

Authors
  1. C. Leonardo
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. C. De Nunzio
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. P. Michetti
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. N. Tartaglia
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. A. Tubaro
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. C. De Dominicis
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. G. Franco
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to C. Leonardo.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Leonardo, C., De Nunzio, C., Michetti, P. et al. Plication corporoplasty versus Nesbit operation for the correction of congenital penile curvature. A long-term follow-up. Int Urol Nephrol 44, 55–60 (2012). https://doi.org/10.1007/s11255-011-9976-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11255-011-9976-z

Keywords

Search

Navigation