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Simultaneous curvature correction at the time of the penile fracture repair: surgical and functional outcomes

Authors Dell'Atti L, Scarcella S, Tallè M, Polito M, Galosi AB

Received 24 October 2018

Accepted for publication 25 March 2019

Published 16 April 2019 Volume 2019:11 Pages 105—110


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Dr Jan Colli

Lucio Dell’Atti,1 Simone Scarcella,2 Matteo Tallè,2 Massimo Polito,3 Andrea Benedetto Galosi2

1Department of Urology, University Hospital “Ospedali Riuniti”, Ancona, Italy; 2Department of Urology, Polytechnic University of Marche, Ancona, Italy; 3Andrology Unit, University Hospital “Ospedali Riuniti”, Ancona, Italy

Purpose: After a penile fracture (PF), an early surgical exploration and defect closure of the lesions are recommended to prevent long-term complications. However, postoperative unsatisfactory penile curvatures are frequent in the literature. In this study, we wished to present surgical outcomes of PF after surgical repair approach with an early intraoperative curvature correction and update our series with postoperative follow-up.
Patients and methods: An institutional retrospective review study of 36 patients undergoing surgical treatment for PF was performed. Mean age of patients was 53.2 years. All surgical explorations were performed within 12 hours after the traumatic event. The surgical repair with a contemporary penile plication was then made to straighten the tunica angulations in patients with curvature greater than 30°, using 2– 3 pairs of 2–0 absorbable suture of polydioxanone.
Results: The length of the tear ranged from 8 to 20 mm. 77.7% of the patients required a correction of the cavernous body deviation. No early complications occurred in any case. The median patient stays in the hospital was 3.4 days. At a mean follow-up of 20.6 months, all patients were able to insert the penis in the partner’s vagina, and were satisfied overall with sexual intercourse; three patients (10.7%) reported residual pain and discomfort for the knots of the sutures.
Conclusions: An early intraoperative curvature correction may be used for a variety of angulation deformities and severe degrees of deviations secondary to a repair after penile trauma, and may be helpful in preventing postoperative morbidity.

Keywords: penile fracture, penile curvature, corpora cavernosa, corporoplasty

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