[Corporoplasty of congenital and acquired penis deviations. Technic and results in 62 patients].

Between 1985 and 1988, a total of 62 patients with penile deviations underwent corporoplasty; 26 (average age 22.2 years) of the patients had congenital, mainly ventrally directed deviations and 36 (average age 51.7 years), acquired, mainly dorsally directed deviations most of which were due to Peyronie's disease. With a follow-up of at least 6 months (range 6 months to 3 1/2 years), 92.3% of the patients with congenital deviations and 72% of those with acquired curvatures expressed unqualified satisfaction with the results of surgery and said they would agree to the operation again. There were few complications: one patient experienced hematoma requiring reoperation and one patient, a skin necrosis resulting from incorrect wound dressing; three patients complained of recurrence of the angulation, which resulted from plication of the tunica albuginea alone without excision in all three. These results justify the statement that the original Nesbit procedure is the method of choice in both congenital and acquired penile deviations and yields a high success rate. Only in patients with relevant impairment of erectile capacity does the primary insertion of an penile prosthesis seems to be justified.