Penis curvature correction
Short-Term Results of a Randomized, Double-Blind, Sham Controlled Study. New technique for penile lateral curvature correction:
Corporolasty by graft trasnposition of corpora cavernosa.
Lateral penis curvature is a quite frequent condition. Affecting 4 – 10 % of males.
It is caused by an asymmetric embryonic development of the corpora cavernosa.
Congenital penile curvature or by Peyronie´s disease when surgical approach is indicated, several techniques can ve carried out such as Plication, Nesbitt, 16 Dot, and others.
The overall success rate in terms of straightening, is quite good with all techniques. However penile shortening is the major complaint after the surgery as it corrects the curvature by shortening the convex longer side of the penis shaft, to make it even with the short side.
For men with good quality erections, who have more severe, or complex curvature, grafting is preferred after placa scission or excision to lengthen the short side of the penis.
Graft materials can be classified in three categories: synthetic or autologous tissue and extracellular matrix. Each grafting material has its own advantages and drawbacks in terms of availability. Pinear reaction to antigens and cost-effectiveness. However and ideal graft has not been identified yet.
This new technique is based on the combination of plication on the longest side and grafting on the shorter, which reduces the shortening effects of traditional techniques. We use the resected autologous albuginea as graft material which is for sure, the best tolerated possible material and the most cost- effective cheaper than any other.
Patients are usually discharged up to 24h. post-surgery with a very good clinical outcome, without penile inflammation, retraction fibrosis or erectile dysfunction, and with persistent long term penis straightening. No severe complications have been reported and after 6 months to 6 years of follow up the patient satisfaction is very high, 95% of patients will be willing ro repeat or recommend the procedure.
It is a relatively easy safe and cheaper procedure which avoids excessive shortening in severe cases of penile curvature.