CORPOREAL PLICATION FOR SURGICAL-CORRECTION OF PENILE CURVATURE - EXPERIENCE WITH 60 PATIENTS

Objective: To evaluate the efficacy of tunica albuginea plication with out excision in patients with congenital and acquired penile curvature . Methods: Results were retrospectively analyzed in 60 consecutive pat ients treated from 1982 to 1996. Mean age was 42.8 years (range 16-77) . 25 patients had congenital curvature and 35 patients had acquired cu rvature (29 Peyronie's disease, 5 postoperative and 1 posttrauma). All patients had penile curvature with angulation over 30 degrees and maj or intercourse difficulties. Results: Postoperatively, 52 patients (87 %) had satisfactory cosmetic results and 49 (82%) had satisfactory fun ctional results. All patients (100%) with congenital or postoperative curvature had satisfactory cosmetic results and satisfactory functiona l results. Patients with Peyronie's disease had a lower success rate w ith 81% satisfactory cosmetic results and 62% satisfactory functional results. Conclusion: Tunica albuginea plication is a more simple proce dure than tunica albuginea resection (Nesbit procedure) with a compara ble success rate and minimal morbidity.