|
末吉 亮
Department School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine Position Assistant Professor |
|
| Article types | Original article |
| Language | English |
| Peer review | Peer reviewed |
| Title | Reconstructive surgery for recurrent penile curvature. |
| Journal | Formal name：Pediatric surgery international Abbreviation：Pediatr Surg Int ISSN code：14379813/01790358 |
| Domestic / Foregin | Foregin |
| Volume, Issue, Page | 34(2),pp.245-248 |
| Author and coauthor | Takeda Masahiro, Seo Shogo, Sueyoshi Ryo, Nakamura Hiroki, Suda Kazuto, Lane Geoffrey J, Yamataka Atsuyuki |
| Publication date | 2018/02 |
| Summary | PURPOSE:There are surprisingly few reports about reconstructive surgery for severe recurrent/persistent penile curvature (redo-PC). We present our experience.METHODS:We reviewed 9 redo-PC cases we treated between 1998 and 2016.RESULTS:Cases 1-3 and 5 were identified from 111 consecutive hypospadias patients we treated between 1998 and 2016 (4/111; 3.6%). Cases 4 and 6-9 had initial surgery elsewhere. Initial PC was severe (> 45°; n = 5), moderate (30°-45°; n = 1), or unknown (n = 3), treated by dorsal plication (DP) in 4/9 (cases 1-4), chordectomy in 2/9 (cases 5, 6), and unknown in 3/9 (cases 7-9); no case had tunica albuginea incision (TAI). Straightening after initial surgery was confirmed by artificial erection (AE) in 4/9, not confirmed (2/9), and unknown (3/9). Cases 1, 2, 7 and 8 had had previous failed redos. Scarring of buccal mucosa used for urethroplasty caused worse PC in cases 7 and 9. After TAI (n = 6; cases 1, 3-6, and 8) or scar removal with DP (n = 3; cases 2, 7, and 9), AE confirmed successful straightening in all cases, without sequelae after a mean follow-up of 2.6 years.CONCLUSION:TAI was most effective for redo-PC surgery. Preoperative AE and examination under anesthesia should be used to customize treatment. |
| DOI | 10.1007/s00383-017-4199-8 |
| PMID | 29058072 |