Current trends in the surgical treatment of congenital penile curvature.,International Journal of Impotence Research

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Current trends in the surgical treatment of congenital penile curvature.
International Journal of Impotence Research ( IF 2.8 ) Pub Date : 2019-08-05 , DOI: 10.1038/s41443-019-0177-0
Ioannis Sokolakis ₁ , Georgios Hatzichristodoulou ₁

Affiliation

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.

中文翻译：

先天性阴茎弯曲的外科治疗的当前趋势。

先天性阴茎弯曲（CPC）是一种相对罕见的疾病，其特征是勃起的先天性阳茎。CPC的手术矫正是采用各种建议的手术技术和改进方法的金标准疗法。这篇综述总结了有关CPC外科治疗的当代文献，试图解决当前的趋势以及可用方法的优缺点。直到2018年12月，我们都进行了非系统性的叙事和解释性文献综述。我们纳入了成人中具有单独CPC的文章。我们排除了有关佩罗尼氏病（PD）外科治疗的原始研究文章。我们总共确定了34项研究，包括2155例符合纳入标准的CPC。九项研究纳入了CPC和PD的患者，但报告了有关CPC队列的足够数据。切开眼皮成形术和无切口折叠似乎是首选的手术方法（分别为10和12个研究），其次是切开眼皮成形术（5）和移植（3）。四项研究报告了一种以上方法的结果。总体而言，CPC患者可期待通过外科手术修复获得的优异结果，并将副作用降至最低。不能确定哪种技术更好。广泛不同的结果表明，在未来的研究中需要标准化的结果度量。四项研究报告了一种以上方法的结果。总体而言，CPC患者可期待通过外科手术修复获得的优异结果，并将副作用降至最低。不能确定哪种技术更好。广泛不同的结果表明，在未来的研究中需要标准化的结果度量。四项研究报告了一种以上方法的结果。总体而言，CPC患者可期待通过外科手术修复获得的优异结果，并将副作用降至最低。不能确定哪种技术更好。广泛不同的结果强调了在未来研究中需要标准化的结果度量。

更新日期：2019-08-05

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