<p>Simultaneous curvature correction at the time of the penile fracture repair: surgical and functional outcomes</p>

Abstract

Purpose: After a penile fracture (PF), an early surgical exploration and defect closure of the lesions are recommended to prevent long-term complications. However, postoperative unsatisfactory penile curvatures are frequent in the literature. In this study, we wished to present surgical outcomes of PF after surgical repair approach with an early intraoperative curvature correction and update our series with postoperative follow-up. Patients and methods: An institutional retrospective review study of 36 patients undergoing surgical treatment for PF was performed. Mean age of patients was 53.2 years. All surgical explorations were performed within 12 hours after the traumatic event. The surgical repair with a contemporary penile plication was then made to straighten the tunica angulations in patients with curvature greater than 30°, using 2– 3 pairs of 2–0 absorbable suture of polydioxanone. Results: The length of the tear ranged from 8 to 20 mm. 77.7% of the patients required a correction of the cavernous body deviation. No early complications occurred in any case. The median patient stays in the hospital was 3.4 days. At a mean follow-up of 20.6 months, all patients were able to insert the penis in the partner’s vagina, and were satisfied overall with sexual intercourse; three patients (10.7%) reported residual pain and discomfort for the knots of the sutures. Conclusions: An early intraoperative curvature correction may be used for a variety of angulation deformities and severe degrees of deviations secondary to a repair after penile trauma, and may be helpful in preventing postoperative morbidity.

Traumatic Metachronous Penile Fracture to the Contralateral Corpora

“…Furthermore, due to the high incidence of postoperative penile curvatures, Dell'Atti et al analysed the importance of intraoperative curvature correction in patients who presented with a cavernous body deviation. This could confer better quality of life and postoperative outcomes with the main disadvantage of a subjective loss of penile length [ 14 ].…”

Buccal mucosa graft in surgical management of Peyronie’s disease: Ultrasound features and clinical outcomes

“…After "defatting", BMG was apposite to cover the albuginea defect with the submucosa surface in contact with the cavernous tissue in order to obtain a quick blood supply and sutured with a 3/0 adsorbable running sutures (Maxon TM ) in each side ( Figure 1). Artificial erection was repeated to evaluate the curvature and deformity correction, defining the need of complementary tunica albuginea plications (10). Buck' s fascia was accurately closed with interrupted adsorbable suture, especially in correspondence with the patch site to avoid patch enlargement.…”

Italian experiences in the management of andrological patients at the time of Coronavirus pandemic

“…In the first 50 days we had to intervene on two traumas of the genital tract that happened due to working activities. We listed criteria to plan andrological surgery in agreement with our experience, the Covid Task Force Unit in our hospital and published Guidelines on urological surgery (17)(18)(19)(20)(21). The andrological surgical activity included two orchiectomies for testicular cancer, one penile amputation with inguinal and ipsilateral pelvic lymph node dissection for penile cancer (Figure 4) and one surgery for severe gangrenous necrotizing fasciitis of the genitals in a 58-year male with diabetes, HIV and drugs addiction.…”