Rotation of the corpora cavernosa for ventral penile curvature: A length-preserving approach.

Abstract

Ventral penile curvature (VPC) poses a significant surgical challenge, particularly in cases of severe angulation. Conventional techniques such as dorsal plication often result in penile shortening, while ventral grafting requires additional surgical stages. Corporal rotation offers an effective, length-preserving alternative but remains underutilized in pediatric patients. We describe a standardized technique for corporal rotation in children with or without hypospadias. In a series of 21 patients with long-term follow-up (median: 4.1 years), complete penile straightening was achieved in all cases, with no recurrence or significant shortening. This technique provides a reliable, reproducible option for VPC correction in pediatric urology.