Long-term results of modified Nesbit corporoplasty with medial neurovascular bundle dissection approach for ventral congenital penile curvature from a high-volume center.

Abstract

Background: Modified Nesbit corporoplasty with medial or lateral neurovascular bundle (NVB) dissection approach is one of the surgical methods aiming to correct the deformity of congenital penile curvature (CPC). We aimed to present the postoperative outcome and complications of patients undergoing modified Nesbit corporoplasty with medial NVB dissection approach for ventral CPC.

Methods: One hundred five patients who underwent modified Nesbit corporoplasty procedure with medial NVB dissection for ventral CPC between 2007 and 2024 were included in the study. Preoperative (age, curvature type and degree) and postoperative (follow-up period, anatomical success, penile length loss, curvature recurrence, bothersome bumps and/or knots, penile and/or glans sensory loss, de-novo erectile dysfunction) data of all patients were recorded.

Results: The mean age of patients was 23.8 ± 5.2 years. The mean degree of curvature was 54.8 ± 13.1°. Median penile length loss was two (IQR:1-3) cm. Anatomical success was achieved in ninety-five (91.5%) patients. The mean postoperative follow up period was 9.8 ± 4.5 (IQR:45-60) years. Recurrence rate and presence of bothersome bumps and/or knots were 4.8% and 6.7%, respectively. None of the patients reported penile and/or glans sensory loss and four (3.8%) patients had de-novo erectile dysfunction during the follow-up period.

Conclusion: The present study has a large series demonstrating that Modified Nesbit corporoplasty with medial dissection could be an alternative approach in correcting ventral CPC with high anatomic and functional success rate and low recurrence rate.

Clinical trial number: Not applicable.