A modified corporoplasty for treating congenital penile curvature and reducing the incidence of palpable indurations

Objective To reduce the incidence of postoperative palpable induration afte r treating congenital penile curvature, using a modified corporoplasty tech nique. Patients and methods In a retrospective unrandomized clinical trial, 105 pa tients with a congenital penile angulation of >30 degrees and for whom coit us was therefore difficult or impossible, underwent surgical correction. Of the 105 patients, 55 underwent the Nesbit-Kelami technique, whereby a diam ond-shaped section of the tunica albuginea is excised and the defect closed with an interrupted suture. The remaining 50 patients underwent the modifi ed corporoplasty, the edges of the tunica albuginea being brought together with a continuous, brood-tight, intratunical suture, and the end knots buri ed. Results The early results (<6 months) were comparable in both groups, with correction of the curvature in 94% and 95%, and postoperative complications in 14% and 15%. There were fewer postoperative haematomas in those undergo ing modified corporoplasty (6% vs 18%). The late results (>6 months) also s howed that these patients developed fewer palpable indurations (16% vs 44%) . Conclusion The modified corporoplasty reduced the incidence of postoperativ e haematoma and late complications (e.g. palpable indurations) after the su rgical correction of congenital penile curvature.