The psychosocial impact of penile reconstructive surgery for congenital penile deviation

The Journal of Sexual Medicine
Raanan TalJohn P Mulhall

Abstract

A variety of surgical techniques to correct congenital penile deviation (CPD) have been described. Although surgical outcomes have been reported, the impact of this treatment on sexual relationship, confidence, self-esteem, and sexual function has never been established. To assess the impact of surgical treatment for CPD on sexual relationship, confidence, self-esteem, and sexual function, employing validated instruments. The Self-Esteem and Relationship (SEAR) and International Index of Erectile Function (IIEF) questionnaires. Prospective, longitudinal, uncontrolled study of 32 men undergoing penile reconstructive surgery for CPD. Assessment of change in sexual relationship, confidence, self-esteem, and sexual function scores. Twenty (37.5%) patients had ventral and 12 (62.5%) had lateral curvature, mean magnitude was 37 +/- 12 degrees . Significant improvement in SEAR domains scores was observed in sexual relationship (82 vs. 40, P < 0.01), overall relationship (86 vs. 62, P < 0.01), and confidence (88 vs. 58, P < 0.001). While mean IIEF erectile function domain score was unchanged: 24 +/- 3.6 and 25 +/- 2.5, before and after surgery, respectively (P = 0.85), significant improvements were observed in the libido (8 vs. 5, P = ...Continue Reading

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Citations

Jun 13, 2012·Current Urology Reports·Iryna MakoveyHadley M Wood
Dec 4, 2012·Therapeutic Advances in Urology·Elizabeth M MobleyWilliam O Brant
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Oct 11, 2011·The Journal of Sexual Medicine·Raanan TalJohn P Mulhall
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