¹Department of Andrology, Cairo University Hospital, Cairo, Egypt

Correspondence: Dr RM Shamloul, Department of Andrology, Cairo University Hospital, EI-Manial, Cairo 202, Egypt. E-mail: rannone74@hotmail.com

²Current address: Queen's University, Pharmacology, Botterell Hall, 18 Stuart st, Kingston, ON, Canada K7L3N6.

Received 5 July 2007; Revised 26 August 2007; Accepted 26 August 2007; Published online 27 September 2007.

Abstract

This retrospective study was designed to evaluate the surgical outcome of correction of congenital penile curvature, via multiple vertical incisions in the tunica albuginea using two different types of suture material, simple inverted 2-0 PDS sutures versus Proline 2-0 suture followed by closure with 3-0 vicryl. The study included 45 men with congenital penile curvature and surgeries were performed in four general hospitals. Patients were divided into two groups; Group A (n=24) included patients undergoing penile curvature correction using 2-0 PDS sutures; and Group B (n=21) patients undergoing the same procedure by placing an inverted Proline 2-0 suture in the middle of the suture line and completing the closure of the incision line with 3-0 vicryl. The procedures straightened the penile shaft in all cases but a degree of curvature recurred in three cases (all Group A). No operative or postoperative complications occurred and no reoperations were needed. Four patients complained of penile shortening (all Group A). No recurrence was observed in the proline group (difference not statistically significant). Horizontal plication after vertical corporal incisions is safe and effective in the treatment for congenital penile curvature without hypospadias. We advise avoiding overcorrection to prevent penile shortening.