Penile plication with or without degloving of the penis results in similar outcomes

Abstract

Background: Penile plication techniques with or without degloving offer a minimally invasive option for the treatment of penile curvature. Aim: To review the outcomes of penile plication surgery and patient satisfaction with and without degloving of the penis. Methods: We conducted a retrospective analysis of 52 patients who underwent penile plication for the treatment of Peyronie disease or congenital penile curvature. Outcomes: Surgical success rates, complications, and patient satisfaction determined with the Treatment Benefit Scale were compared between groups. Results: The overall surgical success rate was 92.3% at a mean follow- up of 18.84 +/- 23.51 months. There were no intraoperative complications. In the degloving group, 42.6% of patients were greatly satisfied and 42.6% had better outcomes; in the without degloving group, 61.5% of patients were greatly satisfied and 30.8% had better outcomes. Comparison of outcomes was not statistically significant between groups. Clinical Implications: The results of the present study indicate the two techniques can be used for penile plication. Conclusion: With or without degloving, penile plication is safe and effective and provides high patient satisfaction.