Đặc điểm lâm sàng và kết quả ngắn hạn sau phẫu thuật ở bệnh nhân cong dương vật bẩm sinh tại Bệnh viện Hữu nghị Việt Đức giai đoạn 2016–2024

Congenital penile curvature (CPC) represents a significant genitourinary anomaly impacting not only physical function but also the psychological well-being of affected individuals. While considered relatively rare, its effects on sexual activity, self-esteem, and quality of life necessitate effective intervention. Surgical correction is the established standard for symptomatic cases, yet comprehensive local data on the clinical characteristics and diverse surgical outcomes across various techniques remain limited. This study addresses this gap by investigating the clinical features of patients with CPC and evaluating the short-term efficacy and safety of different surgical interventions performed at Viet Duc University Hospital between 2016 and 2024, providing crucial insights into local treatment practices.

Urologists, andrologists, surgeons, and medical researchers interested in genitourinary anomalies and reconstructive surgery.

This study systematically examines the clinical characteristics and short-term surgical outcomes for congenital penile curvature (CPC) at Viet Duc University Hospital between 2016 and 2024. Utilizing a cross-sectional descriptive design, retrospective medical records of 188 patients who underwent surgical correction for CPC with a curvature of 30 degrees or more were analyzed, with a 3-month post-operative follow-up. The findings indicate a mean patient age of 24.2 years, with cosmetic concerns being the primary driver for seeking treatment (45.7%). Leftward curvature was the most prevalent (35.6%), and the average pre-operative curvature measured 40.3 degrees. Various surgical techniques, including cavernous body shortening (Nesbit, Yachia, plication) and lengthening (dermal flap), were employed, with Yachia's procedure being the most frequently utilized (54.3%). Remarkably, at the 3-month follow-up, 94.7% of patients achieved a completely straight penis, and the remaining 5.3% had a residual curvature of less than 15 degrees. Crucially, no severe complications such as recurrent curvature or erectile dysfunction were reported. The study concludes that these surgical methods are highly effective and safe in correcting CPC, significantly improving both functional and cosmetic outcomes for patients. This research underscores the importance of a multi-faceted approach to CPC management, addressing both the physical deformity and the psychological impact, while also highlighting the need for longer-term follow-up studies using standardized functional assessment tools to fully ascertain sustained efficacy and patient satisfaction.