Congenital penile curvature treatments in adults: a systematic review of techniques and outcomes

被引:0
作者
Capece, Marco [1 ]
Cilio, Simone [2 ]
Morgado, Afonso [3 ]
Capogrosso, Paolo [4 ]
Celentano, Giuseppe [1 ]
Altieri, Vincenzo [5 ]
Cocci, Andrea [6 ]
Falcone, Marco [7 ]
Manfredi, Celeste [8 ]
Napolitano, Luigi [9 ]
Russo, Giorgio Ivan [10 ]
La Rocca, Roberto [1 ]
机构
[1] Mediterranea Hosp, Dept Urol, Naples, Italy
[2] AOU San Giovanni Dio & Ruggi Aragona Scuola Med Sa, UOC Clin Urolog, Dept Ophthalmol, Salerno, Italy
[3] ULS Sao Joao, Dept Urol, Porto, Portugal
[4] Univ Insubria, Circolo & Fdn Macchi Hosp, Dept Med & Technol Innovat DIMIT, Unit Urol, Varese, Italy
[5] Univ Campobasso, Dept Urol, Humanities Gavazzeni, Campobasso, Italy
[6] Careggi Hosp, Unit Oncol Minimally Invas Urol & Androl, Florence, Italy
[7] Univ Turin, Molinette Hosp, Dept Surg Sci, Div Urol, Turin, Italy
[8] Univ Campania Luigi Vanvitelli, Dept Woman Child & Gen & Specialized Surg, Unit Urol, Naples, Italy
[9] Azienda Sanit Locale ASL Salerno, Urol Unit, Salerno, Italy
[10] Univ Catania, Dept Surg, Urol Sect, Catania, Italy
关键词
SHAEERS CORPORAL ROTATION; LENGTH-PRESERVING CORRECTION; TUNICA-ALBUGINEA; MODIFIED CORPOROPLASTY; PLICATION PROCEDURE; SURGICAL-CORRECTION; PEYRONIES-DISEASE; 16-DOT PLICATION; NESBIT OPERATION; PATIENT;
D O I
10.1038/s41443-025-01033-6
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Congenital penile curvature is a rare condition identified by an abnormal penile curvature present from birth. Surgical intervention is currently the most effective treatment and is generally deferred until after puberty; however, early correction is recommended by some due to its impact on psychosexual development. This systematic review aims to evaluate the literature on surgical techniques for congenital penile curvature correction, focusing on their efficacy, safety, and patient-reported outcomes. Conducted in accordance with PRISMA guidelines and registered with PROSPERO (ID: CRD42024526737), the review includes 59 studies meeting inclusion criteria. The findings indicate that numerous surgical techniques have been documented over the past decades, predominantly focusing on shortening procedures such as Nesbit, Yachia, tunica albuginea plication, and Essed-Schr & ouml;der. These historically utilized methods remain effective for correcting congenital penile curvature, but they may result in side effects like penile shortening and erectile dysfunction. The review emphasizes the necessity for well-designed studies to better compare the benefits of various surgical techniques.
引用
收藏
页数:15
相关论文
共 81 条
[21]  
Garaffa G., Sacca A., Christopher A.N., Ralph D.J., Circumcision is not mandatory in penile surgery, BJU Int, 105, pp. 222-224, (2010)
[22]  
Falcone M., Bettocchi C., Carvalho J., Ricou M., Boeri L., Capogrosso P., Et al., European Association of Urology Guidelines on Penile Size Abnormalities and Dysmorphophobia: Summary of the 2023 Guidelines, Eur Urol Focus, 10, pp. 432-441, (2024)
[23]  
Paris A., Morel-Journel N., Carnicelli D., Ruffion A., Neuville P., Long-Term Functional Outcomes After Surgical Correction of Congenital Penile Curvature, Urology, 154, pp. 288-293, (2021)
[24]  
Zachalski W., Krajka K., Matuszewski M., Evaluation of the Treatment of Congenital Penile Curvature Including Psychosexual Assessment, J Sex Med, 12, pp. 1828-1835, (2015)
[25]  
Andrews H.O., al-Akraa M., Pryor J.P., Ralph D.J., The Nesbit operation for congenital curvature of the penis, Int J Impot Res, 11, pp. 119-122, (1999)
[26]  
Falcone M., Ceruti C., Preto M., Timpano M., Cirigliano L., Sedigh O., Et al., Long-Term Surgical, Functional, and Patient Reported Outcomes of a Modified Corporoplasty: A Tertiary Referral Center Experience, J Sex Med, 17, pp. 1779-1786, (2020)
[27]  
Baldini A., Morel-Journel N., Paparel P., Ruffion A., Terrier J.E., Patient-reported long-term sexual outcomes following plication surgery for penile curvature: A retrospective 58-patient study, Prog Urol, 27, pp. 10-16, (2017)
[28]  
Kato T., Nagao K., Ishii N., Miura K., New plication technique for the treatment of congenital penile curvature, Reprod Med Biol, 4, pp. 255-258, (2005)
[29]  
Rolle L., Tamagnone A., Timpano M., Destefanis P., Fiori C., Ceruti C., Et al., The Nesbit operation for penile curvature: an easy and effective technical modification, J Urol, 173, pp. 171-173, (2005)
[30]  
Kuehhas F.E., Egydio P.H., Superficial tunica albuginea excision, using geometric principles, for the correction of congenital penile curvature, BJU Int, 110, pp. E949-E953, (2012)