An unanswered question in pediatric urology: the post pubertal persistence of prepubertal congenital penile curvature correction by tunical plication

An unanswered question in pediatric urology: the post pubertal persistence of prepubertal congenital penile curvature correction by tunical plication

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ABSTRACT Objective: The aim of this study is to analyze post pubertal results of pre pubertal tunica albuginea plication with non-absorbable sutures in the correction of CPC.Materials and Methods: The files of patients who underwent tunica albuginea plication without incision (dorsal/lateral) were retrospectively reviewed.Patients younger than 13 years of age at the time of operation and older than 14 years of age in November 2015 were included.

Patients with a penile curvature of less than 30 degrees & more than 45 degrees and penile/urethral anomalies were excluded.All of the ultrastar dc hc550 patients underwent surgery followed by circumcision.Results: The mean age of patients at the time of the operation was 9.

7 years (range, 6-13 years).The mean degree of ventral penile curvature measured during the operation was 39 degrees while it was 41 degrees in the lateral curvatures.All of the patients were curvature-free at the end of the operation.

At the time of the follow-up examination, the mean age was 16.7 years (range, 14-25 years).Six patients had a straight (0-10 degrees) penis during erection and seven patients had recurrent 100w products penile curvatures ranging from 30 to 50 degrees.

Conclusion: Pre pubertal tunica albuginea plication of congenital penile curvature (30-45 degrees) with non-absorbable sutures performed without incision is a minimal invasive method especially when performed during circumcision.However, recurrence might be observed in half of the patients after puberty.