Ventral Plication for Repair of Pediatric Dorsal Penile Curvature

ObjectivesTo present the results of ventral plication for the repair of dorsal curvature.MethodsA total of 33 patients (mean age 38 months, range 7 months to 15 years) with a dorsal curvature of >30° degrees underwent ventral plication. A subcoronal incision was performed, followed by degloving of the skin to the penile base. The point of maximal curvature was noted and marked during an erection test. Two polypropylene 5-0 plication sutures were placed in the tunica albuginea of both corporeal bodies, just lateral and adjacent to the corpus spongiosum. Proper alignment and a straight penis were confirmed with a repeat erection test. The skin incision was closed with absorbable sutures. Surgical success was determined by parental and physician satisfaction with the final outcome during follow-up.ResultsNo immediate or late complications (mean follow-up 25 months, range 3-65) developed. A straight penis was achieved in 28 of 33 patients (85%). Four patients with residual curvature did not require a second procedure, and the fifth patient successfully underwent reoperation using the same technique.ConclusionsThe results of our study have shown that ventral plication is a simple and efficient technique for the repair of dorsal penile curvature.