Background: Dorsal plication on each side of the penis at the 2 and 10-o’clock positions had been a mainstay for correction of ventral penile curvature. However, because only the 12-o’clock position proved to be a nerve-free zone, dorsal plication at the 12-o’clock position can be advocated.
Objectives: To evaluate tunica albuginea plication with and without neurovascular bundle mobilization in patients with ventral penile curvature. Type of the study: A prospective study.
Methods: A 34 patients with a mean age of (4.8 ± 0.54) years, Who still have ventral penile curvature all ≤ 30º after degloving of penis with or without other orthoplasty technique, randomized into two groups, in group (A) 17 patients subjected to midline dorsal penile plication at 12-o'clock, whereas in group (B) 17 patients subjected to plication of tunica albuginea at 2 and 10-o’clock positions after neurovascular bundle mobilization.
Results: 94.1% of group (A) and 88.2% of group (B) Patients have satisfactory appearance of the penis. No complications were reported in both groups
Conclusions: The incision and plication of tunica albuginea with neurovascular bundle mobilization is long and more invasive procedure than Midline dorsal penile plication with no significant differences in outcome.
Salvage Penile Plication Is an Effective Modality for Resolving Residual Curvature After Surgery for Peyronie's Disease