Modified corporoplasty for XXXX : description of the technique and initial results.

@entity1 @entity546 @entity260 @entity158
PURPOSE: We report our initial results with an original modification of Yachia corporoplasty to correct congenital and acquired ventral penile deviations. MATERIALS AND METHODS: A total of 12 @entity1 with congenital or acquired ventral curvature of the penis underwent modified corporoplasty. The surgical procedure, which was performed during artificial erection, consists of Yachia plasty done in the bed of the deep dorsal vein, which was previously resected. To our knowledge the procedure that we describe is the only corporoplasty for ventral deviation that does not require any manipulation of the neurovascular bundle but ensures at the same time definitive coalescence of the tunical edges. RESULTS: Penile curvature was completely eliminated in all @entity1 . No change in erectile function was reported by 11 @entity1 (92%). Eight @entity1 (67%) reported penile shortening (1 to 2.5 cm) but the decreased length did not cause interference with sexual activity. No other surgery related complication, such as @entity158 or loss of sensitivity, was reported. Ten of the 12 @entity1 interviewed (83%) reported full satisfaction with the results. Two @entity1 (17%) reported partial satisfaction. CONCLUSIONS: The modified Nesbit procedure that we propose allows complete and definitive correction of @entity546 without any manipulation of the dorsal bundle. Excellent penile straightening and the lack of significant @entity260 result in high @entity1 satisfaction rates.
