Between the initiation of the ''Penile Deformity Clinic'' in 1988 in o
ur Department of Urology, and the end of 1992, 1,862 males aged 0 (les
s than 24 hours old) to 78 years old were examined. Five hundred of th
em were newborns, aged 0 to 5 days; they were examined to determine th
e incidence of congenital penile curvature. Two hundred and seventeen
congenital curvatures were seen, and 102 of them were corrected surgic
ally using four different corporoplasty techniques. From the 116 Peyro
nie's Disease patients, 37 were treated surgically, either by corporop
lasty or prosthesis implantation. From the 29 iatrogenic penile deform
ities, all the result of previous hypospadias repairs or urethroplasti
es for stricture repairs, 18 needed surgical intervention, mostly for
cosmetic reasons. Three congenital curvatures, corrected by plication,
and one by Nesbit corporoplasty, recurred. Three other cases correcte
d by Nesbit corporoplasty reported temporary loss of glans sensation,
and in a fourth one the sensory loss was permanent. It is our opinion
that concentrating the care of these deformities in the hands of a sma
ll group of surgeons specialized in penile reconstructive surgery yiel
ds the best functional and esthetic results.