Straightening of the Penis
Penile curvatures or deviations against its own axis, be they congenital (present at birth) or acquired due to pathologies having arisen during the patient’s life,
and be they either isolated or associated with other genital malformations, require consultation with a specialist and often require delicate male surgery procedures with excellent results from both a cosmetic and a functional point of view.
Classification
- Complete curvature of the penis associated with urethral malformation (hypospadias, epispadias)
- Congenital curvature of the penis associated with short urethra
- Pure or primary congenital curvature of the penis
- Acquired curvature of the penis
- Pseudo- or false curvature of the penis
According to the Nesbit technique, cavernous corporoplasty involves the removal of one or more elliptical sections of cavernous albuginea on the contralateral side to the concavity of the curve to be corrected. The penile vascular-nervous fascia is completely isolated. The disadvantage of the aforementioned technique is a minimal shortening of the penis which will be more severe the greater the curvature to be corrected.
The technique requires meticulous suturing of Buck’s fascia, suturing of the skin at the level of the coronal sulcus and compressive bandages for 2 or 3 days. Sexual activity can be resumed after 40 days. The definitive esthetic result is excellent, with virtually invisible scars 2 months after the procedure and a perfectly straight penis.
