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Urology. 2019 Jul;129:106-112. doi: 10.1016/j.urology.2019.02.039. Epub 2019 Apr 4.

Comparison of Patient's Satisfaction and Long-term Results of 2 Penile Plication Techniques: Lessons Learned From 387 Patients With Penile Curvature.

Author information

1
University of Mersin School of Medicine, Department of Urology, Mersin, Turkey. Electronic address: selcayan@mersin.edu.tr.
2
Ondokuz Mayıs University School of Medicine, Department of Urology, Samsun, Turkey.
3
Mersin City Training and Research Hospital, Department of Urology, Mersin, Turkey.
4
University of Mersin School of Medicine, Department of Urology, Mersin, Turkey.
5
Ankara University School of Medicine, Department of Urology, Ankara, Turkey.

Abstract

OBJECTIVE:

To compare the patient's satisfaction and long-term results of 2 penile plication procedures in patients with penile curvature.

METHODS:

This retrospective study included 387 patients with congenital penile curvature (n = 260) and Peyronie's disease (n = 127) who underwent surgical correction of penile curvature with penile plication procedures. Of the patients, 202 underwent plication of tunica albuginea with the Lue's 16-dot technique, while 185 underwent highly superficial excision of tunica albuginea with the modified Nesbit corporoplasty. Surgical outcomes and patient's satisfaction were compared between the 2 techniques in all patients.

RESULTS:

The mean duration of surgery was significantly shorter in the 16-dot plication technique (48.1 ± 7.5 minutes), compared with the modified Nesbit corporoplasty (63 ± 16.9 minutes) (P = .001). Complete penile straightening was achieved in 87.6% of the patients who underwent 16-dot plication technique and in 89.7% of the patients who underwent modified Nesbit plication, revealing no difference (P = .514). The rates of penile sensory loss (P = .001) and de-novo erectile dysfunction (P = .016) were significantly higher in the modified Nesbit corporoplasty than in the 16-dot plication technique, but rate of suture related complications was significantly higher in the 16-dot plication technique than in the modified Nesbit corporoplasty (P = .001). The patients with congenital penile curvature had significantly less ratio of postoperative penile length loss and de-novo erectile dysfunction than Peyronie's disease patients.

CONCLUSION:

Overall, both surgical techniques have very high success and satisfaction rates with very low complication rates. However, the types of complications are significantly different between the 2 surgical procedures. Therefore, patients with penile curvature should be informed about outcomes of penile plication procedures, and surgical method should be preferred based on patient's preference and surgeon's experience.

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