Efficacy and long-term outcomes of congenital penile curvature treatment in children using tunica albuginea plication and Heinecke–Mikulicz corporoplasty
Pediatric Surgery International, cilt.42, sa.1, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 42 Sayı: 1
- Basım Tarihi: 2026
- Doi Numarası: 10.1007/s00383-026-06302-z
- Dergi Adı: Pediatric Surgery International
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE, Academic Search Ultimate (EBSCO), Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest)
- Anahtar Kelimeler: Congenital penile curvature, Penile degloving, Tunica albuginea plication, Heinecke-Mikulicz corporoplasty
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Purpose: This study aimed to compare the efficacy and long-term outcomes of tunica albuginea plication and Heinecke–Mikulicz corporoplasty techniques in children. Methods: A retrospective review was performed on 176 children who underwent corrective surgery for CPC with a curvature angle between 30° and 60° between 2014 and 2022. Patients were classified into three groups: degloving alone (Group 1, n = 85), tunica albuginea plication (Group 2, n = 72), and Heinecke–Mikulicz corporoplasty (Group 3, n = 19). Results: The mean age at surgery was 7.6 ± 3.2 years (range: 4–11). Curvature was mainly ventral or ventrolateral (84.8%). Mean preoperative curvature angles were 36.2°, 37.4°, and 41.4° in Groups 1, 2, and 3, respectively. Adequate correction was achieved with degloving alone in 48.2% of patients. In those requiring additional correction, complete straightening was obtained in all cases (p < 0.001). During a mean follow-up of 26.7 ± 17.7 months, curvature recurrence occurred in 18.8%, 19.4%, and 21.1% of patients in Groups 1, 2, and 3, respectively. Late complications included palpable suture knots in two patients from Group 2 and four from Group 3. Conclusions: Tunica albuginea plication is a safe, effective, and practical option for correcting penile curvature in children when degloving alone is insufficient.