International urology and nephrology · 2026
Penile curvature surgery in contemporary practice: effectiveness, satisfaction, and complications after corporoplasty in a tertiary referral center.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Sánchez-Curbelo Josvany-René, Raffo Massimiliano, Treviño Gibrán Castro, Luft Doron Vantman, Suñé Álvaro Vives, Soldi José Antonio Arrús, Caballero Luis Malca, Dumas Sebastián, De Rocco Ponce Maurizio, García Ricardo Contreras, Adalid Gabino, Montorsi Francesco, Salonia Andrea, Ruiz-Castañé Eduard
Аннотация
PURPOSE: Penile curvature due to Peyronie's disease (PD) or congenital penile curvature (CPC) may impair sexual function and quality of life. We aimed to evaluate effectiveness, safety, and patient satisfaction after corporoplasty at a tertiary referral center.
METHODS: We retrospectively analyzed 324 men undergoing corporoplasty between 2020 and 2025. Patients were stratified according to curvature etiology (PD vs. CPC) and surgical technique (16-dot plication, Yachia, modified Nesbit, Surgisis grafting). Curvature severity was assessed during pharmacologically induced erection and classified as mild (< 30°), moderate (30-60°), or severe (> 60°). Outcomes assessed at 6-48 months included postoperative erectile function (IIEF-5), Global Assessment Questionnaire (GAQ-1/GAQ-2), satisfaction, complications, side effects, anesthesia type, and operative setting.
RESULTS: 274 (84.6%) had PD and 50 (15.4%) CPC. Moderate curvature was present in 217 (67%) patients and severe curvature in 100 (31%). Local anesthesia was used in 256 (79%) cases, and 253 (78.1%) procedures were ambulatory. Overall, 181 (56%) patients reported normal postoperative erectile function, 211 (65%) improved sexual quality of life, and 249 (77%) satisfaction with surgery. Descriptively, CPC patients showed higher rates of preserved postoperative erectile function than PD patients (47 [94%] vs. 137 [50%]). Complete straightening was achieved in 298 (92%) patients, while re-curvature occurred in 26 (8%). Complications developed in 67 (20.7%) patients and side effects in 89 (27.5%), penile shortening being the most common.
CONCLUSIONS: Corporoplasty provided high anatomical success and favorable patient satisfaction in both PD and CPC. CPC patients showed descriptively more favorable functional and satisfaction outcomes, while penile shortening and re-curvature represented the main determinants of dissatisfaction.
METHODS: We retrospectively analyzed 324 men undergoing corporoplasty between 2020 and 2025. Patients were stratified according to curvature etiology (PD vs. CPC) and surgical technique (16-dot plication, Yachia, modified Nesbit, Surgisis grafting). Curvature severity was assessed during pharmacologically induced erection and classified as mild (< 30°), moderate (30-60°), or severe (> 60°). Outcomes assessed at 6-48 months included postoperative erectile function (IIEF-5), Global Assessment Questionnaire (GAQ-1/GAQ-2), satisfaction, complications, side effects, anesthesia type, and operative setting.
RESULTS: 274 (84.6%) had PD and 50 (15.4%) CPC. Moderate curvature was present in 217 (67%) patients and severe curvature in 100 (31%). Local anesthesia was used in 256 (79%) cases, and 253 (78.1%) procedures were ambulatory. Overall, 181 (56%) patients reported normal postoperative erectile function, 211 (65%) improved sexual quality of life, and 249 (77%) satisfaction with surgery. Descriptively, CPC patients showed higher rates of preserved postoperative erectile function than PD patients (47 [94%] vs. 137 [50%]). Complete straightening was achieved in 298 (92%) patients, while re-curvature occurred in 26 (8%). Complications developed in 67 (20.7%) patients and side effects in 89 (27.5%), penile shortening being the most common.
CONCLUSIONS: Corporoplasty provided high anatomical success and favorable patient satisfaction in both PD and CPC. CPC patients showed descriptively more favorable functional and satisfaction outcomes, while penile shortening and re-curvature represented the main determinants of dissatisfaction.