Purpose <p>This study aimed to compare the efficacy and long-term outcomes of tunica albuginea plication and Heinecke–Mikulicz corporoplasty techniques in children.</p> Methods <p>A retrospective review was performed on 176 children who underwent corrective surgery for CPC with a curvature angle between 30° and 60° between 2014 and 2022. Patients were classified into three groups: degloving alone (Group 1, <i>n</i> = 85), tunica albuginea plication (Group 2, <i>n</i> = 72), and Heinecke–Mikulicz corporoplasty (Group 3, <i>n</i> = 19).</p> Results <p>The mean age at surgery was 7.6 ± 3.2 years (range: 4–11). Curvature was mainly ventral or ventrolateral (84.8%). Mean preoperative curvature angles were 36.2°, 37.4°, and 41.4° in Groups 1, 2, and 3, respectively. Adequate correction was achieved with degloving alone in 48.2% of patients. In those requiring additional correction, complete straightening was obtained in all cases (<i>p</i> &lt; 0.001). During a mean follow-up of 26.7 ± 17.7 months, curvature recurrence occurred in 18.8%, 19.4%, and 21.1% of patients in Groups 1, 2, and 3, respectively. Late complications included palpable suture knots in two patients from Group 2 and four from Group 3.</p> Conclusions <p>Tunica albuginea plication is a safe, effective, and practical option for correcting penile curvature in children when degloving alone is insufficient.</p>

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Efficacy and long-term outcomes of congenital penile curvature treatment in children using tunica albuginea plication and Heinecke–Mikulicz corporoplasty

  • Aziz Serhat Baykara,
  • Cigdem Arslan Alici

摘要

Purpose

This study aimed to compare the efficacy and long-term outcomes of tunica albuginea plication and Heinecke–Mikulicz corporoplasty techniques in children.

Methods

A retrospective review was performed on 176 children who underwent corrective surgery for CPC with a curvature angle between 30° and 60° between 2014 and 2022. Patients were classified into three groups: degloving alone (Group 1, n = 85), tunica albuginea plication (Group 2, n = 72), and Heinecke–Mikulicz corporoplasty (Group 3, n = 19).

Results

The mean age at surgery was 7.6 ± 3.2 years (range: 4–11). Curvature was mainly ventral or ventrolateral (84.8%). Mean preoperative curvature angles were 36.2°, 37.4°, and 41.4° in Groups 1, 2, and 3, respectively. Adequate correction was achieved with degloving alone in 48.2% of patients. In those requiring additional correction, complete straightening was obtained in all cases (p < 0.001). During a mean follow-up of 26.7 ± 17.7 months, curvature recurrence occurred in 18.8%, 19.4%, and 21.1% of patients in Groups 1, 2, and 3, respectively. Late complications included palpable suture knots in two patients from Group 2 and four from Group 3.

Conclusions

Tunica albuginea plication is a safe, effective, and practical option for correcting penile curvature in children when degloving alone is insufficient.