FUNCTIONAL, SURGICAL AND SATISFACTION OUTCOMES OF MODIFIED CORPOROPLASTY FOR PENILE CURVATURE: AN UPDATE

Nesbit corporoplasty is a surgical tecnique proposed to correct congenital (CPC) or acquired (APC penile curvature. A modified corporoplasty was proposed in 2005 in Turin by Rolle. Aim of the study is to assess functional, surgical and patient reported outcomes (PROs) of modified corporoplasty.

We retrospectively analyzed data of patients that underwent modified corporoplasty from May 2005 to July 2023. Intra and postoperative complications, surgical time and hospital stay were recorded as surgical outcome. 3 validated questionnaires were administered preoperatively and 12 months after surgery: International Index of Erectile Function (IIEF), Sexual Encounter Profile (SEP, items 2-3) and Peyronie Disease Questionnaire (PDQ, only in APC). An “Ad hoc” questionaire was developed to evaluate PROs.

232 patients were included in the study. CPC was noted in 147 patients while APC, secondary to Peyronie’s disease, was present in 85 patients. Median preoperative PC was 60°(interquartile range [IQR]45-70). Regarding surgical outcomes, median operative time was significantly longer in CPC than in APC (respectively 130 minutes; IQR110-150; 109 minutes; IQR90-130; p < 0,01). No observed differences in hospital stay, but complications were more common in CPC group (18,4%; p < 0,05). After a median follow-up of 97 months (IQR 35-120), recurrent curvature was observed in 4,7% of cases. Minor residual curvature (<20°) was detected in 6,9% of patients. IEEF, SEP2-3 and PDQ scores improved in both groups. Postoperative erectile dysfunction (ED) was observed in 4,1% of CPC patients and in 32,9% in APC (p = 0.001). The multivariate analysis, showed etiology (APC), patient age (>35 years), and postoperative complications as independent risk factors for postoperative ED development. In relation to PROs, dissatisfaction with post-operative penile length was reported by 18,2% of patients, with higher incidence in APC group (p = 0.001). Overall, a significant improvement in frequency of sexual intercourse, in subjective sexual life and global quality of life was observed in both groups (p = 0,001).

Modified corporoplasty is a valid alternative for PC correction, with high patients’ satisfaction and low recurrence risk. Better results may be expected in CPC subjects compared to APC.

No conflict of interest in this abstract presentation.