Preview

Medical Journal

Advanced search

OUR EXPERIENCE IN SURGICAL CORRECTION OF CONGENITAL CURVATURE OF THE PENIS

https://doi.org/10.51922/1818-426X.2025.4.43

Abstract

During the period from 2020 to 2025, we observed 57 (100 %) patients with congenital penile deviation. The following variants of penile curvature were identified; in cases of a combination of deformation in several planes, the predominant angle of curvature was taken into account: downwards (to the ventral side) – 28 (49 %) men, to the left – 19 (33 %), to the right – 4 (7 %), rotation with angular deformation – 4 (7 %), only rotation along the axis – 2 (3.5 %). Combined deformations in two planes and along the axis of all
patients – 14 (24.6 %).
The purpose of this work is to consider the currently relevant methods of penile corporoplasty, as well as the advantages and disadvantages of available methods of surgical correction of congenital curvature of the penis.
A total of 19 patients with congenital curvature of the penis aged from 17 to 39 years were operated on. The methods used were: plication of the tunica albuginea of the penis according to Shcheplev-Nesbit – 13, with a penile curvature angle from 35° to 75°; straightening of the penis using a graft – 5, curvature angle from 55° to 85°; circumcision, with the elimination of rotational curvature – 1. Complications: repeated correction of curvature – 1,
intraoperative damage to the urethra – 1, subcutaneous hematomas of the pubic area – 3, shortening of the penis by 1–2.5 cm – 7 patients. A comparison of plication and implantation surgical methods for correction of congenital curvature of the penis is presented, using autologous and xenograft for the graft.

About the Authors

G. V. Druzhinin
Limited Liability Company “Doctor Profi”; Educational Institution “Belarusian State Medical University”
Belarus

Minsk



I. V. Lavrinovich
Limited Liability Company “Doctor Profi”
Belarus

Minsk



O. A. Kovalyonok
Limited Liability Company “Doctor Profi”
Russian Federation

Minsk



References

1. Bavil’skij, V. F. Nash opyt diagnostiki i lecheniya vrozhdennogo iskrivleniya polovogo chlena / V. F. Bavil’skij, M. N. Saetov, O. F. Plaksin, F. N. Zimin // Andrologiya i genital’naya hirurgii. – 2013. – № 2. – S. 55–59.

2. Bojko, N. I. Vrozhdennaya deviaciya polovogo chlena i korrekciya pri pomoshchi Viagry / N. I. Bojko // Zdorov’e muzhchiny. – 2004. – № 4. – P. 88–91.

3. Goryachev, I. A. Lechenie iskrivlenij polovogo chlena na poroge tret’ego tysyacheletiya / I. A. Goryachev, P. A. Shcheplev, A. V. Zhivov, A. Yu. Plekhanov // Sbornik trudov II simpoziuma po muzhskoj genital’noj hirurgii. – M., 1999. – 72 s.

4. Dosta, N. I. Bolezn’ Pejroni / N. I. Dosta, D. M. Nitkin, R. V. Doroshevich. – Minsk: “Kapital prini”, 2018. – 232 s.

5. Katibov, M. I. Vrozhdennye anomalii polovogo chlena: mirovye i otechestvennye dannye / M. I. Katibov, A. B. Bogdanov // Eksperimental’naya i klinicheskaya urologiya. – 2021. – № 1. – Р. 44–55.

6. Mihajlichenko, V. V. Operativnoe lechenie vrozhdennoj i priobretennoj deformacii polovogo chlena / V. V. Mihajlichenko, V. P. Aleksandrov, I. F. Novikov [et al.] // Sbornik trudov II simpoziuma po muzhskoj genital’noj hirurgii. – M., 1999. – 12 s.

7. Savchenko, N. E. Gipospadiya i ee lechenie / N. E. Savchenko. – Minsk, 1962. – 264 s.

8. Shcheplev, P. A., Apolihin O. I. Andrologiya. Klinicheskie rekomendacii. – M., 2007.

9. Fahmy, M. Congenital Anomalies of the Penis. – Switzerland: Springer, 2017. – 267 p.

10. Kel âmi, A. Classification of congenital and acquired penile deviation // Urol Int. – 1983. – Vol. 38, № 4. – P. 229–233.

11. Mingin, G., Baskin L. S. Management of chordee in children and young adults // Urol Clin North Am. – 2002. – № 29(2). – P. 277–84.

12. Montag, S., Palmer L. S. Abnormalities of penile curvature: chordee and penile torsion // Scientific World J. – 2011. – № 11. – P. 1470–8.

13. Nesbit, R. H. Congenital curvature of the phallus: report of three cases with description of corrective operation, 1965 // J. Urol. – 2002. – Vol. 167. – P. 1187–1189.

14. Osama Shaeer and Kamal Shaeer. Rotation of the cavernous bodies by Chaire – III: correction of congenital curvature of the henis without shortening – a method without corporotomy // European Urology. – 2016. – Vol. 69, Issue 1. – P. 129–134.

15. Yachia, D. Text Atlas of Penile Surgery. – London: CRC Press, 2007.


Review

For citations:


Druzhinin G.V., Lavrinovich I.V., Kovalyonok O.A. OUR EXPERIENCE IN SURGICAL CORRECTION OF CONGENITAL CURVATURE OF THE PENIS. Medical Journal. 2025;(4):43-49. (In Russ.) https://doi.org/10.51922/1818-426X.2025.4.43

Views: 55

JATS XML


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1818-426X (Print)