使用陰莖白膜摺疊術治療陰莖彎曲
蔡德甫1,3、葉忠信1,3、陳宏恩1、林宜佳1,3、仇光宇1,3、林致凡2、黃一勝1,3
1新光醫療財團法人新光吳火獅紀念醫院 外科部 泌尿科
2新光醫療財團法人新光吳火獅紀念醫院 中央實驗室
3輔仁大學 醫學系
Corporoplasty plication surgery for the treatment of congenital penile curvature
Te-Fu Tsai1,3, Chung-Hsin Yeh 1,3, Hung-En Chen1, Yi-Chia Lin1,3 , Kuang-Yu Chou1,3, Ji-Fan Lin2 and Thomas I-Sheng Hwang1,3
1Division of Urology, Department of Surgery, Shin Kong Wu Ho-Su Memorial Hospital,
2Central Laboratory, Shin Kong Wu Ho-Su Memorial Hospital
3School of Medicine, Fu-Jen Catholic University, Taipei, Taiwan.
Introduction: Corporoplasty using plication of the albuginea is a simple technique and is still a major concern about the high possibility of recurrence. The aim of this study was to assess long-term functional and cosmetic results of this approach done in our institute.
Materials and Methods: From January 2001 to December 2014 a total 138 patients presenting penis curvature accepted corporoplasty with albuginea plication. All patients were assessed preoperatively with history, physical examination and photographic documention of the erectile penis. These patients, all with vaginal penetration problems, were submitted to corporoplication with 2-7 sutures 2/0 (polyglycolic) contralateral to the curvature. Follow-up included functional and cosmetic results, eventual complications and level of patient satisfaction.
Results: Median follow-up of our study was 62 months (range 6-154). Complete correction of curvature was achieved in 124 patients (89.8%) whereas 95.7% reported good erectile function (IIEF-5 > 21). 97 patients (70.3%) reported penis shortening and 30.3% complained of palpating the sutures. 6 perioperative complications were wound infection for 4 and hematoma for 2.. No altered sensitivity of the glans penis was reported.
Conclusions: Simple plication of the corpora cavernosa can be done with optimal functional and cosmetic results. The success of this minimally invasive approach makes it a valid procedure to correct penile curvature.