We restrospectively analized the results of our proposed technical modification to Nesbitʼs operation, designed in order to increase the precision and to simplify the correction of penile curvature in patients with La Peyronieʼs disease.

From september 2001 to November 2007, 49 patients were considered for a surgical treatment of penile curvature and underwent a modified corporoplasty procedure.

One or two couples of Allis clamps are applied to grasp and gather the tunica albuginea on the convex side of the penis, and they are readjusted till the penis is completely straightened. One 2-zero polyglycolic U-shaped knot is applied on each side of the Allis clamps. They are then removed and, after verifying the straightening still persists and is adequate, the part of tunica albuginea over the two knots is excised. A running horizontal 3-zero polyglycolic suture is placed to close the albuginea defect. Hospital records and follow-up data were retrospectively reviewed.

Patients were affected by IPP with penile deformity (mean angle of 48 °, range 40-60). Mean age was 62,6. All patients had spontaneous and full erections. No intra-operative complications were recorded. In all cases, the penile curvature was completely corrected. Neither residual curvature nor hyercorrection were recorded. Only 3 patients (6%) were unsatisfied due to penile shortening.

Our modified corporoplasty procedure results in an improvement of straightening outcome thanks to the possibility to perform the excision of tunica albuginea only after the surgeon has made and verified the exact correction, in real time.