Patient satisfaction with correction of congenital penile curvature

Actas Urol Esp. 2017 Dec 29;S0210-4806(17)30223-1. doi: 10.1016/j.acuro.2017.11.002. Online ahead of print.
[Article in En, Spanish]


Background: Congenital penile curvature is a relatively rare disease, resulting from a deviation of the penis from the body's straight axis when erect. The prevalence is difficult to determine. Although it has been suggested that the condition could affect up to 10% of the male population, most of these deviations are minor, with no clinical or psychological importance, which leads to its underdiagnosis. Effective correction of the deviation can markedly improve the quality of life of adolescents with this condition.

Objective: To assess the quality of the sex life of patients diagnosed with congenital penile curvature who underwent surgical correction.

Materials and methods: Design Retrospective, observational cohort study. Data was collected from the medical records of patients who underwent surgical correction of congenital penile curvature from June 2004 to August 2016. The patients completed the following self-administered questionnaires: Sexual Quality of Life Questionnaire-Male (SQOL-M), International Index of Erectile Function 5 (IIEF 5) and "How satisfied are you with the results of the surgery? From 0 to 10".

Results: Twenty-two corporoplasties were performed to correct the patients' congenital penile curvature. The patients' average age was 23.4 years (range, 17-35). The mean deviation prior to surgery was 47.9° (range, 20°-90°). The average score on the SQOL-M was 52 points (range, 6-66). The average score on the IIEF 5 was 22.4 points.

Conclusion: Congenital penile curvature profoundly decreases quality of life, and early surgery is fundamental for repairing the anatomical deformation and thereby significantly restores the patients' psychosocial and sexual wellbeing.

Keywords: Congenital penile curvature; Pene curvo congénito; Satisfacción; Satisfaction; Yachia.