To assess the post-pubertal outcome of ventral penile curvature repaired in infancy in terms of recurrence and aesthetics.
Post-pubertal patients treated for hypospadias and ventral penile curvature in infancy at a tertiary medical center were invited to undergo assessment of the quality of the repair. Findings were compared between patients with a straight penis after skin release and patients who required dorsal plication.
The cohort included 27 patients of mean age 16.5 years who were reported with straight penis after surgery. Post-pubertal curvature was found in 6/14 patients (43%) successfully treated by skin release and 10/13 patients (77%) who underwent dorsal plication (p=0.087). Significant curvature (≥30 degrees) was found in 1/14 patients in the skin-release group and 4/13 in the dorsal plication group (p=0.16). Rates of redo urethroplasty were 2/14 (14%) and 5/10 (50%), respectively. Patient satisfaction with the appearance of the penis did not differ significantly.
Ventral penile curvature repaired in infancy often recurs after puberty. The need for dorsal plication has a trend-level association with recurrence of penile curvature in puberty. It might also be related to the degree of post-pubertal penile curvature and the need for redo urethroplasty. Procedure type does not affect patient satisfaction with the post-pubertal appearance of the penis.
Urology. 2017 Oct 16 [Epub ahead of print]
Dor Golomb, Bezalel Sivan, Pinhas M Livne, Amihay Nevo, David Ben-Meir
Department of Urology, Rabin Medical Center - Beilinson Hospital, Petach Tikva; affiliated to Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Electronic address: ., Unit of Pediatric Urology, Schneider Children's Medical Center of Israel, Petach Tikva.