Our Surgical Outcomes for Congenital Penile Curvature

Objective: Patients with congenital penile curvature (CPC) frequently require surgical treatment. However, patients cannot access the treatment required everywhere. The common reason for this is the insufficient information and experience of the people offering treatment. This study was planned to attract attention to the topic and present our 5-year experience. Methods: The outcomes for 17 patients with tunical plication due to CPC were retrospectively analyzed. During attendance, ages and complaints were recorded. Data about the curvature angle, satisfactory straightening, and residual curvature in the process of surgery and after surgery were analyzed. Results: Data from 17 CPC patients abiding by the criteria were used. The mean age of cases was 18.06±4.54 years. Mean curvature angle was identified as 55.8±17.8°. None of the patients had known trauma history or pain at attendance (0/17, 0%). All patients perceived this disease as a problem (17/17, 100%). During mean 9.4±3.5 (6-15) month follow-up, 15 of 17 patients (88.2%) were identified to have satisfactory penile correction. Clinically significant residual curvature (>20°) was identified in 2 of 17 patients (11.8%). Two of the 17 patients (11.8%) reported mild, insignificant, and not uncomfortable (<20°) curvature. Additional surgical procedures were not required for residual curvature. Conclusion: Surgical correction is frequently unavoidable for treatment of this disease. As seen in our study, this surgical procedure is a simple, reliable, and effective treatment choice. However, many people offering treatment are known to avoid these patients or these surgical treatments. Though there are many reasons for this, according to our experience, the most important cause is lack of sufficient knowledge and experience. It is a very difficult situation for urologists to avoid curvature surgery, commonly found among urological diseases. We think it will be beneficial to provide the necessary information and experience for dealing with these patients during or after specialization training.