Update in Management of Congenital Penile Curvature complex [CPCC]

Background:Congenital curvature of the penis results from abnormal efflorescence of the tunica albuginea of the corpora cavernosa and not accompanied with urethral anomaly. Complex Congenital curvature of the penis has two abnormal elements : mal-rotation either clockwise or anti clockwise and curva...

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Autores principales: AbduAllah Zidan, Mohammed shahin, Abdo Arnous
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Publicado: Al-Azhar University, Faculty of Medicine (Damietta) 2020
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Acceso en línea:https://doaj.org/article/540d8c18b0144a3aa342346c7b2036e6
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spelling oai:doaj.org-article:540d8c18b0144a3aa342346c7b2036e62021-12-02T14:02:00ZUpdate in Management of Congenital Penile Curvature complex [CPCC]2636-41742682-378010.21608/ijma.2020.31699.1133https://doaj.org/article/540d8c18b0144a3aa342346c7b2036e62020-07-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_101778_ad702a16d141128dab554efa644e0cbf.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background:Congenital curvature of the penis results from abnormal efflorescence of the tunica albuginea of the corpora cavernosa and not accompanied with urethral anomaly. Complex Congenital curvature of the penis has two abnormal elements : mal-rotation either clockwise or anti clockwise and curvature of the penis either dorsal or ventral. Aim of the work: To present update in management of congenital curvature complex of the penis. Background: Congenital curvature of the penis results from abnormal efflorescence of the tunica albuginea of the corpora cavernosa and not accompanied with urethral anomaly. Complex Congenital curvature of the penis has two abnormal elements: mal-rotation either clockwise or anti clockwise and curvature of the penis either dorsal or ventral.  Aim of the work: To present update in management of congenital curvature complex of the penis. Patients and Methods:This prospective study done at Al-Azhar University Hospital in Damietta. Fifteen patients [15] with congenital curvature complex of the penis were evaluated and corrected from June. 2019 to January 2020, their mean age was 5.1 ± 2.34 years [range 2–10 year]. The direction of torsion was anticlockwise in 12 patients and in 3 patients was clockwise. Four patients had dorsal curvature and Eight patients had ventral curvature, while three patients had lateral curvature. All patients treated at first by modified Nesbit's procedure for correction of curvature, then dorsal flap of dartos layer for correction of penile torsion in one stage. Results: All cases with congenital curvature complex of the penis corrected in one-set surgery, which is simple, familiar and safe procedure with high successful rate. There were only a few transient complications, such as edema, mild bleeding, and penile hematoma resolved spontaneously. No recurrence of mal-rotation or curvature reported. Conclusion: Congenital Penile Curvature Complex can be treated in single-stage surgery with excellent functional and cosmetic outcomes by combination of modified Nesbit's procedure with dorsal flap of dartos layer. Patients and Methods:This prospective study done at Al-Azhar University Hospital in Damietta. Fifteen patients (15) with congenital curvature complex of the penis were evaluated and corrected from June. 2019 to January 2020 ,their mean age was 5.1 ± 2.34 years (range 2–10 y). The direction of torsion was anticlockwise in 12 patients and in 3 patients was clockwise. Four patients had dorsal curvature and Eight patients had ventral curvature, while three patients had lateral curvature. All patients treated at first by modified Nesbit's procedure for correction of curvature, then dorsal flap of dartos layer for correction of penile torsion in one stage.Results:All cases with congenital curvature complex of the penis corrected in one-set surgery, which is simple, familiar and safe procedure with high successful rate.There were only a few transient complications, such as oedema, mild bleeding, and penile hematoma resolved spontaneously. No recurrence of mal-rotation or curvature reported.Conclusion: Congenital Penile Curvature Complex can be treated in single-stage surgery with excellent functional and cosmetic outcomes by combination of modified Nesbit's procedure with dorsal flap of dartos layer.AbduAllah ZidanMohammed shahinAbdo ArnousAl-Azhar University, Faculty of Medicine (Damietta)articlecongenitalpenile curvaturepenile mal-rotationsurgerydorsal flap of dartos layerMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 3, Pp 572-579 (2020)
institution DOAJ
collection DOAJ
language EN
topic congenital
penile curvature
penile mal-rotation
surgery
dorsal flap of dartos layer
Medicine (General)
R5-920
spellingShingle congenital
penile curvature
penile mal-rotation
surgery
dorsal flap of dartos layer
Medicine (General)
R5-920
AbduAllah Zidan
Mohammed shahin
Abdo Arnous
Update in Management of Congenital Penile Curvature complex [CPCC]
description Background:Congenital curvature of the penis results from abnormal efflorescence of the tunica albuginea of the corpora cavernosa and not accompanied with urethral anomaly. Complex Congenital curvature of the penis has two abnormal elements : mal-rotation either clockwise or anti clockwise and curvature of the penis either dorsal or ventral. Aim of the work: To present update in management of congenital curvature complex of the penis. Background: Congenital curvature of the penis results from abnormal efflorescence of the tunica albuginea of the corpora cavernosa and not accompanied with urethral anomaly. Complex Congenital curvature of the penis has two abnormal elements: mal-rotation either clockwise or anti clockwise and curvature of the penis either dorsal or ventral.  Aim of the work: To present update in management of congenital curvature complex of the penis. Patients and Methods:This prospective study done at Al-Azhar University Hospital in Damietta. Fifteen patients [15] with congenital curvature complex of the penis were evaluated and corrected from June. 2019 to January 2020, their mean age was 5.1 ± 2.34 years [range 2–10 year]. The direction of torsion was anticlockwise in 12 patients and in 3 patients was clockwise. Four patients had dorsal curvature and Eight patients had ventral curvature, while three patients had lateral curvature. All patients treated at first by modified Nesbit's procedure for correction of curvature, then dorsal flap of dartos layer for correction of penile torsion in one stage. Results: All cases with congenital curvature complex of the penis corrected in one-set surgery, which is simple, familiar and safe procedure with high successful rate. There were only a few transient complications, such as edema, mild bleeding, and penile hematoma resolved spontaneously. No recurrence of mal-rotation or curvature reported. Conclusion: Congenital Penile Curvature Complex can be treated in single-stage surgery with excellent functional and cosmetic outcomes by combination of modified Nesbit's procedure with dorsal flap of dartos layer. Patients and Methods:This prospective study done at Al-Azhar University Hospital in Damietta. Fifteen patients (15) with congenital curvature complex of the penis were evaluated and corrected from June. 2019 to January 2020 ,their mean age was 5.1 ± 2.34 years (range 2–10 y). The direction of torsion was anticlockwise in 12 patients and in 3 patients was clockwise. Four patients had dorsal curvature and Eight patients had ventral curvature, while three patients had lateral curvature. All patients treated at first by modified Nesbit's procedure for correction of curvature, then dorsal flap of dartos layer for correction of penile torsion in one stage.Results:All cases with congenital curvature complex of the penis corrected in one-set surgery, which is simple, familiar and safe procedure with high successful rate.There were only a few transient complications, such as oedema, mild bleeding, and penile hematoma resolved spontaneously. No recurrence of mal-rotation or curvature reported.Conclusion: Congenital Penile Curvature Complex can be treated in single-stage surgery with excellent functional and cosmetic outcomes by combination of modified Nesbit's procedure with dorsal flap of dartos layer.
format article
author AbduAllah Zidan
Mohammed shahin
Abdo Arnous
author_facet AbduAllah Zidan
Mohammed shahin
Abdo Arnous
author_sort AbduAllah Zidan
title Update in Management of Congenital Penile Curvature complex [CPCC]
title_short Update in Management of Congenital Penile Curvature complex [CPCC]
title_full Update in Management of Congenital Penile Curvature complex [CPCC]
title_fullStr Update in Management of Congenital Penile Curvature complex [CPCC]
title_full_unstemmed Update in Management of Congenital Penile Curvature complex [CPCC]
title_sort update in management of congenital penile curvature complex [cpcc]
publisher Al-Azhar University, Faculty of Medicine (Damietta)
publishDate 2020
url https://doaj.org/article/540d8c18b0144a3aa342346c7b2036e6
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AT abdoarnous updateinmanagementofcongenitalpenilecurvaturecomplexcpcc
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