Department of Andrology, Faculty of Medicine, Cairo University, Cairo, Egypt.
Int Braz J Urol. 2018 Jan-Feb;44(1):180-187. doi: 10.1590/S1677-5538.IBJU.2016.0578.
Penile curvature (PC) can be surgically corrected by either corporoplasty or plication techniques. These techniques can be complicated by post-operative: penile shortening, recurrent PC, painful/palpable suture knots and erectile dysfunction.
To avoid the complications of corporoplasty and plication techniques using a new technique: combined plication-incision (CPI).
Two groups (1&2) were operated upon: group 1 using CPI and group 2 using the 16-dot technique. In CPI, dots were first marked as in 16 dot technique. In each group of 4 dots the superficial layer of tunica albuginea was transversely incised (3-6mm) at the first and last dots. Ethibond 2/0, passed through the interior edge of the first incision plicating the intermediate 2 dots and passed out of the interior edge of the last incision, was tightened and ligated. Vicryle 4/0, passed through the exterior edges of the incisions, was tightened and ligated to cover the ethibond knot.
Twelve (57.1 %) participants in group 2 complained of a bothering palpable knot compared to none in group 1 with statistically significant difference (P=0.005). Postoperative shortening (5mm) of erect penis, encountered in 9 participants, was doubled in group 2 but with insignificant difference (P>0.05). Post-operative recurrence of PC, was encountered in only 1 (4.8%) participant in group 2, compared to none in group 1, with insignificant difference (P>0.05). Post-operative erectile rigidity was normally maintained in all participants.
The new technique was superior to the 16-dot technique for correction of PC.
阴茎弯曲（PC）可以通过 corporoplasty 或 plication 技术进行手术矫正。这些技术可能会导致术后阴茎缩短、PC 复发、疼痛/触诊缝线结和勃起功能障碍等并发症。
避免 corporoplasty 和 plication 技术的并发症，采用一种新的技术：联合 plication-incision（CPI）。
对两组（1 和 2 组）进行手术：1 组采用 CPI，2 组采用 16 点技术。在 CPI 中，首先像 16 点技术一样标记点。在每组的 4 个点中，在第一个和最后一个点处将白膜的浅层横向切开（3-6mm）。Ethibond 2/0 通过第一个切口的内缘穿过，将中间的 2 个点缝合，并从最后一个切口的内缘穿出，然后收紧并结扎。Vicryle 4/0 通过切口的外边缘穿过，然后收紧并结扎以覆盖 Ethibond 结。
2 组中有 12 名（57.1%）参与者抱怨有明显的触诊结，而 1 组中没有，差异有统计学意义（P=0.005）。9 名参与者出现勃起阴茎术后缩短（5mm），2 组缩短加倍，但差异无统计学意义（P>0.05）。2 组中只有 1 名（4.8%）参与者出现 PC 术后复发，1 组中没有，差异无统计学意义（P>0.05）。所有参与者的术后勃起硬度均正常。
对于 PC 的矫正，新技术优于 16 点技术。
