TY - JOUR AU - De Rose, Aldo Franco AU - Ambrosini, Francesca AU - Mantica, Guglielmo AU - Zero, Enrico AU - Banchero, Riccardo AU - Terrone, Carlo PY - 2020/10/01 Y2 - 2024/03/29 TI - Prepuce-sparing corporoplasty as a safe alternative for patients with acquired penile curvature JF - Archivio Italiano di Urologia e Andrologia JA - Arch Ital Urol Androl VL - 92 IS - 3 SE - Original Papers - Andrology DO - 10.4081/aiua.2020.3.182 UR - https://www.pagepressjournals.org/aiua/article/view/aiua.2020.3.182 SP - AB - <p>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. <br>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. <br>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). <br>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.</p> ER -