Long-term followup of dermal grafts for repair of severe penile curvature

The Journal of Urology
Hesham Badawy, Hani Morsi

Abstract

There is some reluctance to use dermal grafts for augmenting the tunica albuginea to correct severe forms of chordee. The main concern is that by violating the integrity of the tunica albuginea venous leakage could presumably ensue and result in erectile dysfunction. We present our long-term followup of dermal grafts used to correct severe penile curvature associated with hypospadias or as an isolated malformation. A total of 16 patients received a single dermal graft harvested from the nonhair bearing inguinal skin fold. Patient age was 1 to 19 years (average 7). Of the patients 14 had hypospadias, which was scrotal in 12 and perineal in 2, while 2 had congenital penile curvature. In the hypospadias group 13 patients underwent primary repair and 1 had undergone 2 previously failed repairs with persistent severe curvature. Additionally, 5 patients in the hypospadias group had associated penoscrotal transposition. Eight patients in the hypospadias group received testosterone injections preoperatively. Average followup was 10 years (range 6 to 15). At the time of the study all patients were postpubertal and 3 had married. Evaluation of the results was based on patient interview reporting of penile straightness, erectile quality a...Continue Reading

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Citations

Jun 13, 2012·Current Urology Reports·Iryna MakoveyHadley M Wood
Jan 13, 2015·Pediatric Surgery International·Le Tan SonNguyen Thi Truc Linh
Jan 1, 2016·Acta Medica (Hradec Králové)·Ioannis PatouliasMaria Kalogirou
Sep 21, 2017·Frontiers in Pediatrics·Paulo R M MoscardiMiguel Alfedo Castellan
Aug 7, 2019·International Journal of Impotence Research·Ioannis Sokolakis, Georgios Hatzichristodoulou

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