Corrective surgery is necessary in less than 10% of cases. The goal of this procedure is to decrease the amount of curvature of the erect penis to facilitate intercourse. Straightening of the penis by plication is performed only if severe penile curvature prevents intercourse or makes it difficult for at least 12 months. It is recommended for patients who have good erectile ability, who have a simple deformity (one direction) and less than 60 ° and who have a penis with sufficient length.
Patients may be asked for photos of their erect penis; the latter will help the urologist validate the operative technique and to judge the postoperative result.
Straightening the penis by plication is intended to shorten the tunica albuginea by excising an albuginea tunica ellipse on the opposite side to the curvature with nonabsorbable point suture. The results are very satisfactory; a success rate ranging from 79% to 100% for realignment and from 67% to 100% for patient satisfaction is reported.