Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Paper
  • Published:

Long-term results of Essed–Schroeder plication by the use of non-absorbable Goretex™ sutures for correcting congenital penile curvature

Abstract

This study evaluated the long-term outcome of the Essed–Schroeder procedure for correcting congenital penile curvature using non-absorbable Goretex™ sutures. The Essed–Schroeder procedure was performed in 35 patients with congenital ventral penile curvature (minimum 30°). Follow-up included a standardized interview with measurement of angulation. Twenty-three of 35 patients were available for complete long-term follow-up (average 34.3 months). The mean preoperative ventral curvature was 54°. In 17/23 patients, the penis remained straightened. Recurrent curvature (average 23°) was observed in six of 23 patients. Fifteen of 23 patients complained of penile shortening (average 1.8 cm). Two of 23 patients reported disturbing side effects that were caused by plication nodes. In most cases, the results of penile straightening by the Essed–Schroeder procedure are excellent with a high grade of subjective satisfaction. Regarding the main problem, that is recurrent curvature, there is no decisive advantage of applying Goretex™ sutures. Discomfort caused by plication nodes can be reduced to a minimum by using a combination of soft Goretex™ sutures with the ‘inverting stitch-technique’.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3
Figure 4

Similar content being viewed by others

References

  1. Nesbit RM . The surgical treatment of congenital chordee without hypospadia J Urol 1954 72: 1178–1180

    Article  CAS  Google Scholar 

  2. Kelâmi A . Congenital penile curvature and its treatment with the Nesbit–Kelâmi technique Br J Urol 1987 60: 261–263

    Article  Google Scholar 

  3. Licht MR, Lewis RW . Modified Nesbit procedure for the treatment of Peyronie's disease: a comparative outcome analysis J Urol 1997 158: 460–463

    Article  CAS  Google Scholar 

  4. Yachia D . Modified corporoplasty for the treatment of penile curvature J Urol 1990 143: 80–82

    Article  CAS  Google Scholar 

  5. Sassine AM, Wespes E, Schulman CC . Modified corporoplasty for penile curvature: ten years experience Urology 1994 44: 419–421

    Article  CAS  Google Scholar 

  6. Popken G et al. A modified corporoplasty for treating congenital penile curvature and reducing the incidence of palpable induration BJU Int 1999 83: 71–75

    Article  CAS  Google Scholar 

  7. Essed E, Schroeder FH . New surgical treatment for Peyronie's disease Urology 1985 25: 582–587

    Article  CAS  Google Scholar 

  8. Schultheiss D et al. Congenital and acquired penile curvature treated with the Essed plication method Eur Urol 2000 38: 167–171

    Article  CAS  Google Scholar 

  9. Knispel HH, Gonnermann D, Huland H . Modified surgical technique to correct congenital and acquired penile curvature Eur Urol 1991 20: 107–112

    Article  CAS  Google Scholar 

  10. Manning M, Jünemann KP, Spahn M, Alken P . Operative Korrektur der Penisverkrümmung—Indikationen und Grenzen der Schröder–Essed-Technik Akt Urol 1999 30: 163–169

    Article  Google Scholar 

  11. Vatne V, Hoeisaeter PA . Functional results after operations of penile curvatures: an institutional experience Scand J Urol Nephrol 1996 179: (Suppl) 151–154

    CAS  Google Scholar 

  12. Poulsen J, Kirkeby HJ . Treatment of penile curvature—a retrospective study of 175 patients operated with plication of the tunica albuginea or with the Nesbit procedure Br J Urol 1996 75: 370–374

    Article  Google Scholar 

  13. Kelâmi A . Autophotography in evaluation of functional penile disorders Urology 1983 21: 628–629

    Article  Google Scholar 

  14. Nooter RI, Bosch JLHR, Schröder FH . Peyronie's disease and congenital penile curvature: long-term results of operative treatment with plication procedure Br J Urol 1994 74: 497–500

    Article  CAS  Google Scholar 

  15. Richter S, Shalev M, Nissenkorn I . Correction of congenital or acquired penile curvature through a simple corporoplication technique Int J Impot Res 1996 8: 255–258

    CAS  PubMed  Google Scholar 

  16. Erpenbach K, Rothe H, Derschum W . The penile plication procedure: an alternative method for straightening penile curvature J Urol 1991 146: 1276–1278

    Article  CAS  Google Scholar 

  17. Levine LA, Lenting EL . A surgical algorithm for the treatment of Peyronie's disease J Urol 1997 158: 2149–2152

    Article  CAS  Google Scholar 

  18. Martinez-Portillo FJ et al. Comparison of Prolene vs Goretex® in patients undergoing the Essed plication procedure for congenital and acquired penile deviation Eur Urol 2001 39 (Suppl 5): 109 abstract 428

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to W Weidner.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hauck, E., Bschleipfer, T., Diemer, T. et al. Long-term results of Essed–Schroeder plication by the use of non-absorbable Goretex™ sutures for correcting congenital penile curvature. Int J Impot Res 14, 146–150 (2002). https://doi.org/10.1038/sj.ijir.3900827

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ijir.3900827

Keywords

This article is cited by

Search

Quick links