Prepuce-sparing corporoplasty as a safe alternative for patients with acquired penile curvature

  • Aldo Franco De Rose Department of Urology, Policlinico San Martino Hospital, University of Genoa, Italy.
  • Francesca Ambrosini | f.ambrosini1@gmail.com Department of Urology, Policlinico San Martino Hospital, University of Genoa, Italy.
  • Guglielmo Mantica Department of Urology, Policlinico San Martino Hospital, University of Genoa, Italy.
  • Enrico Zero Department of Computer Science, Bioengineering, Robotics and Systems Engineering, University of Genoa, Italy.
  • Riccardo Banchero Department of Urology, Policlinico San Martino Hospital, University of Genoa, Italy.
  • Carlo Terrone Department of Urology, Policlinico San Martino Hospital, University of Genoa, Italy.

Abstract

Objectives: penile curvature is a rare condition, classified as congenital or acquired (Peyronie’s disease) (PD). Surgical correction is the standard treatment. It’s common practice to associate circumcision with penile de-gloving to prevent complications. In this paper we evaluate the feasibility of penile surgery avoiding circumcision.
Materials and methods: patients presenting with penile curvature were treated using a modified Nesbit procedure. Patients were divided into group A if they opted for a prepuce-sparing surgery and the others into group B. Patients were evaluated pre and postoperatively and postoperative complications were assessed. The 5-item International Index of Erectile Function (IIEF-5) was administered before and 6 months after surgery and we compared the difference of mean value using T-Test.
Results: Group A and B were made of 53 and 16 patients respectively. Median age was 59 years [interquartile range (IQR) 12] in A and 62 (IQR 9) in B (p = 0.2). Median curvature was 40° (IQR 40°) in A and 40 ° (IQR 30°) in B (p = 0.62). Mean difference between pre- and post-operative IEFF was 1.9 ± 2 in A and 2.6 ± 2.1 in B (p = 0.36).
Conclusions: According to our experience, surgical correction of penile curvature without performing circumcision could be a safe and feasible strategy. We recommend performing circumcision only in patients who present with pre-operative phimosis.

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Published
2020-10-01
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Section
Original Papers - Andrology
Keywords:
Erectile dysfunction; Foreskin; Male; Phimosis; Penile induration
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How to Cite
De Rose, A. F., Ambrosini, F., Mantica, G., Zero, E., Banchero, R., & Terrone, C. (2020). Prepuce-sparing corporoplasty as a safe alternative for patients with acquired penile curvature. Archivio Italiano Di Urologia E Andrologia, 92(3). https://doi.org/10.4081/aiua.2020.3.182

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