Extract

Objective

Incisional corporoplasty, an approach for operating on the convex side of the penis, is indicated for curvature <60 degrees and no concern of length loss. The primary objective was to investigate the overall results of different types of incisional corporoplasty (Nesbit Procedure, Yachia Technique, and Combined Nesbit/Yachia) at our institution.

Methods

A retrospective analysis was performed on 63 patients who underwent a penile-shortening procedure to correct penile curvature. Patients had either Peyronie’s disease (n=58) or congenital penile curvature (n=5). Penile-shortening procedures included the Nesbit procedure (N=25), Yachia procedure (N=30), and a combination of the two techniques (N=8). The mean age was 54.1 years, mean deviation was 48.1 degrees and mean follow-up period was 97.8 days.

Results

Coital function (p < .001) and erectile function (p = .001) were significantly improved, and straightening was achieved in 85.7%. Complication rates were 23.8% erectile dysfunction, 3.2% hypoesthesia, 1.6% shortening and 0% recurrent curvature. Binary logistic regression revealed neither age, deformity, nor comorbidity significantly predicted erectile dysfunction (p = .796). The procedure was considered a success in 95.2% of patients.

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