Double eight plication: Decreasing recurrence rate in corrective surgery for penile curvature
1: Kasr El AIni Faculty of Medicine, Cairo University, Egypt
Objectives: Penile curvature can be corrected by plication of the tunica albuginea. Recurrence of curvature can be due to the suture lone tearing through the tunica with repeated erection among other factors. With the suture line aligned with and parallel to the stronger outer longitudinal fibers of the tunica albuginea, those fibers are prone to splitting, with subsequent erections. The present work describes the principle behind and result of Shaeer’s Double-8 plication technique for correction of penile curvature aiming at a lower recurrence rate.
Materials and Methods:
Sixty patients with congenital penile curvature were randomized into the study group (SG, n=22), with curvature corrected by the “Shaeer’s Double-8 technique”, and the control group (CG, n=38) with curvature corrected by the 16-dot technique.
Results: Average angle of erection before correction of curvature in the SG was 39.1 ± 8.4, compared to 34 ± 9 in the CG, p=0.31. Following correction, intra-operatively, the penis was straight in all patients. At final follow up (1-6 years (mean 3 ± 1.2)), no recurrences were observed in the SD, compared to the CG where 4/38 patients (10.5%) had a mild degree of recurrence (average angle of curvature 24.5 ± 5.6 degrees.)
Conclusion: Shaeer’s Double-Eight Plication Technique is a simple and safe technique for correction of penile curvature, with double interlocking figure-of-eight sutures that decrease the likelihood of splitting the tougher longitudinal fibers of the tunica albuginea, with a lower recurrence rate than alternative plication techniques.
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