Straightening-reinforcing (S-R) technique with selected incisions in the treatment of congenital and acquired penile curvature : 10 years results of a simplification

Objective. The correction of penile curvature is not anymore confined only to severe curvotorsions. Today Peyronie's disease is precociously curable. Moreover, the demand of aesthetical correction for congenital curvatures, even minimal, is greatly increasing, especially from young patients requiring new suitable procedures. Material and Methods. We perform the straightening-reinforcing technique in local anaesthesia, in day-hospital regimen. The first passage carries out the plicature while the second one seals it discharging the tension during erection. This technique is different from the simple Ebbehoj-Metz stitch, which plicates but doesn't seal, exposing to relapse. In 10 years we performed 66 plicatures (50 congenital and 16 acquired) with a mean follow-up of two years. Results. A penetrative activity was possible and satisfactory for every subject within 3 months. To report 6 relapses. Conclusions. This technique is quicker and less invasive than the Nesbit's corporoplastic technique and, with the appropriate indications, can provide the same goals, even on long term periods.