Department of Urology and Paediatric Urology, Julius-Maximilians-University of Würzburg, Würzburg, Germany.
Int J Impot Res. 2020 Jan;32(1):64-74. doi: 10.1038/s41443-019-0177-0. Epub 2019 Aug 5.
Congenital penile curvature (CPC) is a relatively uncommon condition, characterized by congenital angulation of the erect penis. Surgical correction of CPC is the gold standard therapy with a variety of proposed surgical techniques and modifications. This review summarizes the contemporary literature on the surgical management of CPC, trying to address the current trends, as well as the advantages and disadvantages of available methods. We performed a non-systematic narrative and interpretative literature review until December 2018. We included articles with isolated CPC in human adults. We excluded original research articles regarding the surgical treatment of Peyronie's disease (PD). In total, we identified 34 studies including 2155 patients with CPC that met our inclusion criteria. Nine studies included patients with both CPC and PD, but reported sufficient data regarding the CPC cohort. Excisional corporoplasty and incisionless plication seemed to be the preferred surgical methods (10 and 12 studies, respectively), followed by incisional corporoplasty (5) and grafting (3). Four studies reported results of more than one method. Overall, patients with CPC can expect excellent outcomes with surgical repair and minimal side effects. No definite conclusions can be made regarding which technique is superior. The widely varied outcomes highlight the need for standardized outcomes measures in future research.
先天性阴茎弯曲（CPC）是一种相对罕见的病症，其特征为勃起阴茎的先天性弯曲。手术矫正 CPC 是金标准疗法，有多种提出的手术技术和改进。本综述总结了 CPC 手术治疗的当代文献，试图解决当前的趋势，以及现有方法的优缺点。我们进行了非系统性的叙事和解释性文献综述，截至 2018 年 12 月。我们纳入了涉及人类成年人孤立性 CPC 的文章。我们排除了关于 PD 手术治疗的原始研究文章。总共，我们确定了 34 项研究，包括符合我们纳入标准的 2155 例 CPC 患者。有 9 项研究包括 CPC 和 PD 患者，但报告了 CPC 队列的足够数据。切除性 corporoplasty 和无切口褶边术似乎是首选的手术方法（分别为 10 项和 12 项研究），其次是切口 corporoplasty（5 项）和移植物（3 项）。有 4 项研究报告了超过一种方法的结果。总体而言，CPC 患者可以预期手术修复的良好结果和最小的副作用。哪种技术更优尚不能得出明确结论。广泛的不同结果突出表明需要在未来的研究中使用标准化的结果测量。
