Kết quả điều trị cong dương vật bẩm sinh bằng phương pháp Yachia tại Trung tâm Nam học, Bệnh viện Hữu nghị Việt Đức giai đoạn 2020–2025

Congenital penile curvature (CPC) represents a significant, albeit rare, anatomical anomaly in males, arising from differential development of the tunica albuginea. This condition, though affecting less than 1% of the male population, can severely impair sexual function and negatively impact psychological well-being, particularly in pronounced cases. While surgical intervention is the established treatment for symptomatic CPC, there remains a critical need for localized research to refine diagnostic and therapeutic protocols. This study addresses this gap by evaluating the efficacy and outcomes of the "Yachia technique" for "congenital penile curvature" treatment at Viet Duc University Hospital, providing valuable empirical data for clinical practice and informing the development of national treatment guidelines.

Urologists, andrologists, general surgeons, medical researchers, and healthcare professionals involved in the diagnosis and surgical management of male urogenital anomalies, particularly congenital penile curvature.

This study provides a comprehensive evaluation of the "Yachia technique" for "congenital penile curvature" correction, demonstrating its safety and effectiveness. A descriptive case series involved 58 patients who underwent "penile straightening surgery" at the Andrology Center, Viet Duc University Hospital, between 2020 and 2025. Postoperative outcomes, assessed at least three months after surgery, revealed a significant reduction in penile curvature, decreasing from a mean of 48.84° ± 12.86° pre-operatively to 7.4° ± 7.1° post-operatively (p < 0.001). While a mean penile shortening of 1.4 ± 0.4 cm was observed, this is considered a characteristic feature of the Yachia method. Crucially, patients reported a marked improvement in sexual quality of life, with the SQoL-M score rising from 32.8 ± 7.2 to 52.4 ± 5.6 (p < 0.001), indicating enhanced psychological and functional well-being. High patient satisfaction was recorded, reflected by a mean VAS score of 8.3 ± 1.3. Complications were predominantly minor, such as subcutaneous induration and edema. Overall, 82.8% of patients achieved good outcomes, and 17.2% had fair outcomes. These findings underscore the Yachia procedure as a reliable surgical option that not only improves penile aesthetics and sexual function but also significantly boosts patient satisfaction. The study's use of comprehensive evaluation criteria offers a holistic assessment of treatment results, contributing robust evidence for the application of this "penile straightening surgery" in clinical settings.