RESUMO
OBJECTIVE: This study was designed to evaluate the medium-term results of surgical treatment of penile curvature by tunica albuginea plication of tunica albuginea resection-prosthetic graft. MATERIALS AND METHODS: A retrospective study of 45 patients operated for penile curvature was performed: 38 were treated by tunica albuginea plication and 7 were treated by tunica albuginea resection-graft. Each patient returned for early (1 month), medium-term (3 months-1 year) and long-term (total mean follow-up of 34 months) postoperative review. RESULTS: Patients operated by plication were satisfied in 88.6% of cases. Significant shortening of the penis was observed in 52% of cases and one in five patients complained of disabling shortening; other complications were rare. The global satisfaction rate among patients operated by resection-graft was 29%, with 57% of residual curvature and 15% of postoperative erectile dysfunction. CONCLUSION: Tunica albuginea plication is a simple and effective technique with low morbidity for the treatment of penile curvature. Tunica albuginea resection followed by Goretex graft gives unsatisfactory results and is associated with considerable morbidity in the treatment of complex penile curvature.
