The reduction corporoplasty: the answer to the improbable urologic question "can you make my penis smaller?"

Abstract

Introduction: Aneurysmal dilatation of the corpora cavernosa can occur because of recurrent priapism in the setting of sickle cell disease.

Aim: We present the first case of a successful implementation of the reduction corporoplasty technique for treatment of a phallus that was "too large for intercourse."

Methods: We describe the presentation of a 17-year-old male with a history of sickle cell disease with a phallus "too large for intercourse." Patient reported normal erectile function and response with masturbation but also reported inability to penetrate his partner due to the enlarged and disfigured morphology. He had three priapismic episodes since the age of 10 that progressively led to an aneurysmal morphologic deformity of his phallus. Evaluation included a magnetic resonance imaging, which revealed true aneurysmal dilatation of bilateral corpora cavernosa in the middle and distal portions, and diffusely hyperplastic tunica.

Main outcome measure: The main outcome measure is the successful management of phallic disfiguration.

Results: Reduction corporoplasty was performed, and the patient reported intact erectile function without aneurysmal recurrence.

Conclusions: Patients with significant corporal aneurysmal defects secondary to recurrent priapism can be successfully managed with reduction corporoplasty.

Keywords: Corporal Hypertrophy; Erectile Function; Pediatric; Penis; Priapism; Reduction Corporoplasty; Sexual Dysfunction; Sickle Cell Disease.