Dorsal tunica albuginea plication for hypospadias curvature.

A systematic approach is described to correct congenital penile curvature using intraoperative artificial erection, preservation of the urethral plate when possible, tunica albuginea plication to straighten the penis and island flap urethroplasty (onlay and tube) when needed. After many years of experience we recognize that curvature correction is not necessarily enhanced by division of a healthy urethral plate. To correct inherent congenital curvature or corporeal disproportion we use a modification of the Nesbit dorsal tunica albuginea plication.