Midline dorsal plication technique for penile curvature repair

The Journal of Urology
Yuval Bar YosefJacob Ben-Chaim

Abstract

Most penile curvature repair techniques involve excision of the tunica albuginea and mobilization of the neurovascular bundles. Recent neuroanatomical studies of the neurovascular bundles have demonstrated the distribution of nerve fibers and identified the 12 o'clock position as the only nerve-free position. We present the results of penile curvature repair with the midline dorsal penile plication technique. A total of 45 penile plication procedures were performed in 43 pediatric patients, of whom 39 had mild to moderate and 4 had severe curvature. Eight patients had previously undergone penile curvature repair. After the induction of an artificial erection test a 4 or 5-zero polypropylene plication suture was placed at the point of maximal curvature at the 12 o'clock position. Of patients with mild to moderate curvature 97% underwent a successful initial procedure. Satisfactory results were achieved in only 2 of the 4 patients with severe curvature. Two of the 3 initial failures were successfully reoperated using the same technique. The procedure was successful in all 8 patients who had previously undergone operation for curvature repair. Midline dorsal penile plication is a safe, simple to perform procedure that achieves exc...Continue Reading

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References

Jun 1, 1994·The Journal of Urology·L S Baskin, J W Duckett
Jan 1, 1994·The Journal of Urology·L S BaskinH M Snyder
Apr 1, 1997·British Journal of Urology·L S BaskinG R Cunha
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Citations

Jan 27, 2009·Urology·Yuval Bar-YosefJacob Ben-Chaim
Jun 5, 2012·European Urology·Konstantinos HatzimouratidisUNKNOWN European Association of Urology
Mar 12, 2008·The Journal of Sexual Medicine·Jirí SedýLadislav Jarolím
Jul 21, 2017·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Ünsal OzkuvanciIsmet Nane
Sep 21, 2017·Frontiers in Pediatrics·Paulo R M MoscardiMiguel Alfedo Castellan

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