Corporeal Derotation for the Management of Dorsal Penile Curvature Associated with Epispadias or Bladder Exstrophy

Background: Dorsal penile curvature is a common association with epispadias or bladder exstrophy anomaly.
Methods: The degree of dorsal penile curvature was assessed after artificial erection using a goniometer. Then degloving of the penis. Three to five sutures using non-absorbable suture material were arranged on either side of corpora cavernosa from the ventral aspect. Preoperative assessments of penile stretch length and urinary continence were reported.
Results: Twenty-four cases were included. Group A cases with isolated epispadias and group B cases of bladder extrophy. The main optative time was 67.3minutes ±12.5 vs. 70 min.± 10.3 respectively. The mean increase of penile Stretch length was 1.4 cm in group A and 0.8 cm in group B. Five correcting sutures were required in group B. Tw cases developed postoperative fistula in group B. The mean age of dorsal penile curvature repair was 3.5 years (±1.2 years). No postoperative complications as fistula, recurrence of the dorsal penile curvature developed.
Conclusion: Corporal ventral derotation is a simple, safe, and easy technique that can be used to correct a post repair dorsal penile curvature in patients with epispadias. It is associated with an improved penile stretch length.