Correction of Penile Curvature

       Current techniques for correction of penile curvature have the drawback of making the penis shorter, since they rely upon shortening the convex side. A shorter penis is not acceptable to most people unless it is the only resort. An alternative was inserting tissues on the concave side (grafting). This resulted in sexual dysfunction.

       The technique I invented corrects the most extreme degrees of curvature with neither shortening nor erectile dysfunction:
 

Correction Of Penile Curvature By Rotation Of The Corpora Cavernosa: A Case Report
Shaeer O. J Sex Med 2006;3:932–937.

       The idea is based on medial rotation of the corpora cavernosa such that the concavity is transformed from the parallel ventral aspects of both corpora, to the lateral opposing aspects that neutralize each other, thus correcting the curvature without shortening.

        The neurovascular bundle is mobilized for a short distance at the point of maximum curvature. The corpora cavernosa are approximated to each other in the dorsal midline by suturing pairs of longitudinal parallel incisions. To avoid urethral narrowing, minimal dissection may be used to develop the groove on either side of the corpus spongiosum, to release it from its attachment to the rotated corpora cavernosa.
 

Steps - 1	Step - 2	Erect State
Elevation of the neurovascular bundle	Parallel incisions, one in each corpus cavernosum, on the dorsal aspect, underneath the bundle.	Stitching the incisions to achieve medial rotation.
Stitches	Erect state

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Management of Torsion of the Penis

 

       Torsion of the penis occurs along its longitudinal axis. It is a frequent congenital abnormality that passes unnoticed. This work established its prevalence as well as evaluated surgical techniques for repair of extreme degrees:

Shaeer O. Torsion Of The Penis In Adults: Prevalence And Surgical Correction. JSM-08-2007-295. In Press.

 

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