Modified corporoplasty for penile curvature: Long-term results and patientsatisfaction

Purpose: In 1994 we began performing the modified corporoplasty technique i n patients undergoing surgery to correct penile curvature. The procedure co nsists of transverse closure of the longitudinal tunical incisions. This te chnique allows minimal mobilization of the neurovascular bundles or corpus spongiosum and potentially decreases the risk of injury to underlying erect ile tissue. We report long-term results of and patient satisfaction with th is procedure. Materials and Methods: From June 1994 to June 1997, 28 consecutive patients 16 to 65 years old (mean age 45) selected far corporoplasty underwent a to tal of 29 operative procedures for disabling penile curvature. The etiology of curvature was Peyronie's disease in 19 patients (68%) and congenital cu rvature in 9 (32%). Results were obtained by retrospective chart review and telephone interview. Long-term followup available for 19 patients ranged f rom 11 to 46 months (mean 24.1). Results: Penile straightening was excellent in 25 patients (89%) and good w ith less than 20 degrees of residual curvature in 2 (7%). In 1 patient in w hom the procedure failed excellent straightening was achieved after a repea t procedure. A total of 27 patients (96%) reported no change in erectile ri gidity or maintenance postoperatively, while 1 described early detumescence . We contacted 19 patients at long-term followup, of whom 17 and 2 reported excellent and good penile straightening results, respectively. In 18 cases there was no change in erectile rigidity, while in 1 there was early detum escence. Some element of erectile shortening without functional problems wa s noticed by 11 patients, of whom 1 was bothered by shortening but achieves successful intercourse. Eight patients denied shortening. In regard to the overall result 9 patients were very satisfied, 6 satisfied, 2 neutral and 2 unsatisfied. Conclusions: In select patients modified corporoplasty as described is an e ffective and durable procedure with a high rate of patient satisfaction. Pa tients should be counseled preoperatively concerning postoperative erectile shortening.