Is Degloving the Best Method to Approach the Penile Corporoplasty With Yachia's Technique?

To assess functional outcomes after surgical correction of congenital and acquired penile curvatures using Yachia's technique (YT) with degloving (DG) and without degloving (WDG) of the penis.

A penile deformity with angle ≥30°, difficulty in vaginal penetration, and severity of erectile dysfunction secondary to penile curvatures were the indications for a surgical treatment with YT. The preoperative characteristics of the patients, postoperative outcomes (change in angulation, palpation of sutures, penile shortening, and patient satisfaction), operative time, and hospital stay were recorded. A total of 64 patients were included in this review and divided into 2 groups: 34 in group I (YT with DG) and 30 in group II (YT-WDG).

The mean operative time was 65.87 ± 21.32 minutes for group I and 48.17 ± 23.82 minutes for group II (P < .02). The mean hospital stay was 3.09 ± 0.96 and 2.87 ± 0.93 days in DG and WDG, respectively (P = .324). There were no significant differences in recurrence rates and complications (palpation of sutures: group I: 14.7% vs. group II: 13.3%; penile shortening: group I: 8.9% vs. group II: 10%). At follow-up of 20.8 months, all treated patients were able to insert the penis in the partner's vagina, were satisfied overall with sexual intercourse.

The outcomes of the DG and WDG techniques were similar, even if the YT-WDG presents better results in terms of less healing and operative time.

Urology. 2019 Jan 22 [Epub ahead of print]

Lucio Dell'Atti, Massimo Polito, Andrea Benedetto Galosi

Department of Urology, University Hospital "Ospedali Riuniti", Ancona, Italy. Electronic address: ., Androlgy Unit, University Hospital "Ospedali Riuniti", Ancona, Italy., Department of Urology, University Hospital "Ospedali Riuniti", Marche Polytechnic University, Ancona, Italy.

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