Prepuce-Sparing Corporoplasty as a Safe Alternative for Patients with Acquired Penile Curvature

Penile curvature can be considered a rare disease, conditioning significant psychological stress for patients. Once medical treatment fails, surgery is the standard of choice. Technically, circumcision is usually combined with penile degloving in order to reduce the risk of postoperative edema and, consequently, phimosis and necrosis.

In our recently published paper entitled "Prepuce-Sparing Corporoplasty as a Safe Alternative for Patients with Acquired Penile Curvature," we report our experience in penile surgery avoiding circumcision. The results of our research show no significant complications among patients treated with a prepuce sparing procedure. We routinely don't combine circumcision with the corporoplasty. We focus our attention on performing a kindly dissection during the degloving step in order to minimize bleeding or ischemia. At the end of the procedure, we usually apply a compressive bandage (Fig. 1).

Only in selected cases, as preoperative phimosis, we believe that circumcision should be recommended. Given that our findings are based on a limited sample size, a single-center experience, and a retrospective study design, the results should thus be considered with caution.

Written by: Francesca Ambrosini, MD, Twitter: @Ambrosini_F, Guglielmo Mantica, MD, Twitter: @ManticaGu, Aldo Franco De Rose, MD, Department of Urology, Policlinico San Martino Hospital, University of Genoa, Genoa, Italy

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