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Plication for Correction of Congenital Penile Curvature: With or Without Degloving?

INTRODUCTION: Previously, incisionless plication (IP) for correction of congenital penile curvature (CPC) has been performed after penile degloving via a circumscribing incision. AIM: To describe our experience with non-degloving incisionless penile plication (NDIP) for correction of CPC and compare...

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Autores principales: Kusin, Samuel B., Khouri, Roger K., Dropkin, Benjamin M., Dietrich, Peter N., Ward, Ellen E., Baumgarten, Adam S., Kansal, Jagan K., Guise, Amy I., Morey, Allen F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8766273/
https://www.ncbi.nlm.nih.gov/pubmed/34753023
http://dx.doi.org/10.1016/j.esxm.2021.100462
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author Kusin, Samuel B.
Khouri, Roger K.
Dropkin, Benjamin M.
Dietrich, Peter N.
Ward, Ellen E.
Baumgarten, Adam S.
Kansal, Jagan K.
Guise, Amy I.
Morey, Allen F.
author_facet Kusin, Samuel B.
Khouri, Roger K.
Dropkin, Benjamin M.
Dietrich, Peter N.
Ward, Ellen E.
Baumgarten, Adam S.
Kansal, Jagan K.
Guise, Amy I.
Morey, Allen F.
author_sort Kusin, Samuel B.
collection PubMed
description INTRODUCTION: Previously, incisionless plication (IP) for correction of congenital penile curvature (CPC) has been performed after penile degloving via a circumscribing incision. AIM: To describe our experience with non-degloving incisionless penile plication (NDIP) for correction of CPC and compare these outcomes with those of men who underwent degloving incisionless penile plication (DIP). METHODS: We conducted a retrospective review of men ≤ 45 years of age who underwent incisionless penile plication for correction of CPC between 2008 and 2020 at two adult tertiary hospitals. Patients underwent either NDIP, performed through a 2-3 cm longitudinal incision along the proximal-to-mid shaft opposite the point of maximum penile curvature, or DIP via a sub-coronal circumscribing incision. MAIN OUTCOME MEASURES: Surgical and patient-reported outcomes were compared between the non-degloving and degloving groups. RESULTS: Among the 38 men (mean age, 26 years) who met the inclusion criteria, 25 underwent NDIP, including 6 patients with biplanar curvature (2 Ventral, 4 Dorsal, 6 Lateral). Thirteen patients underwent DIP, including 1 patient with biplanar curvature (1 ventral, 1 lateral). Curvature reduction was 50 ± 23 degrees for the NDIP group and 36 ± 10 degrees for the DIP group (P = .04). Five (20%) patients in the NDIP group and nine (69%) patients in the DIP group experienced a reduction in stretched penile length following plication (SPL) (P = .01). One patient in the NDIP group underwent an additional plication for recurrent curvature. CONCLUSION: Both NDIP and DIP are safe and highly efficacious techniques for the correction of CPC. Kusin SB, Khouri RK, Dropkin BM, et al., Plication for Correction of Congenital Penile Curvature: With or Without Degloving?. Sex Med 2021;9:100462.
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spelling pubmed-87662732022-01-21 Plication for Correction of Congenital Penile Curvature: With or Without Degloving? Kusin, Samuel B. Khouri, Roger K. Dropkin, Benjamin M. Dietrich, Peter N. Ward, Ellen E. Baumgarten, Adam S. Kansal, Jagan K. Guise, Amy I. Morey, Allen F. Sex Med Original Research INTRODUCTION: Previously, incisionless plication (IP) for correction of congenital penile curvature (CPC) has been performed after penile degloving via a circumscribing incision. AIM: To describe our experience with non-degloving incisionless penile plication (NDIP) for correction of CPC and compare these outcomes with those of men who underwent degloving incisionless penile plication (DIP). METHODS: We conducted a retrospective review of men ≤ 45 years of age who underwent incisionless penile plication for correction of CPC between 2008 and 2020 at two adult tertiary hospitals. Patients underwent either NDIP, performed through a 2-3 cm longitudinal incision along the proximal-to-mid shaft opposite the point of maximum penile curvature, or DIP via a sub-coronal circumscribing incision. MAIN OUTCOME MEASURES: Surgical and patient-reported outcomes were compared between the non-degloving and degloving groups. RESULTS: Among the 38 men (mean age, 26 years) who met the inclusion criteria, 25 underwent NDIP, including 6 patients with biplanar curvature (2 Ventral, 4 Dorsal, 6 Lateral). Thirteen patients underwent DIP, including 1 patient with biplanar curvature (1 ventral, 1 lateral). Curvature reduction was 50 ± 23 degrees for the NDIP group and 36 ± 10 degrees for the DIP group (P = .04). Five (20%) patients in the NDIP group and nine (69%) patients in the DIP group experienced a reduction in stretched penile length following plication (SPL) (P = .01). One patient in the NDIP group underwent an additional plication for recurrent curvature. CONCLUSION: Both NDIP and DIP are safe and highly efficacious techniques for the correction of CPC. Kusin SB, Khouri RK, Dropkin BM, et al., Plication for Correction of Congenital Penile Curvature: With or Without Degloving?. Sex Med 2021;9:100462. Elsevier 2021-11-06 /pmc/articles/PMC8766273/ /pubmed/34753023 http://dx.doi.org/10.1016/j.esxm.2021.100462 Text en Copyright © 2021 The Authors. Published by Elsevier Inc. on behalf of the International Society for Sexual Medicine. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Research
Kusin, Samuel B.
Khouri, Roger K.
Dropkin, Benjamin M.
Dietrich, Peter N.
Ward, Ellen E.
Baumgarten, Adam S.
Kansal, Jagan K.
Guise, Amy I.
Morey, Allen F.
Plication for Correction of Congenital Penile Curvature: With or Without Degloving?
title Plication for Correction of Congenital Penile Curvature: With or Without Degloving?
title_full Plication for Correction of Congenital Penile Curvature: With or Without Degloving?
title_fullStr Plication for Correction of Congenital Penile Curvature: With or Without Degloving?
title_full_unstemmed Plication for Correction of Congenital Penile Curvature: With or Without Degloving?
title_short Plication for Correction of Congenital Penile Curvature: With or Without Degloving?
title_sort plication for correction of congenital penile curvature: with or without degloving?
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8766273/
https://www.ncbi.nlm.nih.gov/pubmed/34753023
http://dx.doi.org/10.1016/j.esxm.2021.100462
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