Reduction Corporoplasty is a rarely discussed procedure for correcting penile girth discrepancies, particularly in cases of acquired macropenis with circumferential enlargement, such as the “Christmas tree deformity.” This deformity, characterized by significant tapering from the penile base to the glans, can cause physical discomfort and psychological distress. In this study, we present a case involving a 63-year-old male patient with progressive penile tapering who sought correction due to associated pain, reduced erect length, and partner-related concerns. Previous attempts with therapies like pentoxifylline, traction devices, and collagenase injections were unsuccessful. Examination revealed a 21.5 cm girth at the base, tapering to 10 cm at the glans, and confirmed through penile Duplex Doppler ultrasound to have normal penile hemodynamics.
During surgery, artificial erections were induced using papaverine, enabling precise horizontal plication from the penile base to mid-glans with sutures placed at 1 cm intervals. By using 2-0 Ethibond sutures, an even girth of 12 cm was achieved across the shaft. A Tachosil graft was applied for hemostasis and to minimize suture sensation. Postoperatively, the patient was advised to avoid sexual activity for four weeks to allow proper healing. At the 12-week and 6-month follow-ups, he reported satisfactory sexual function with sildenafil, similar to his preoperative needs.
This case supports the effectiveness and safety of horizontal plication corporoplasty in patients with penile girth discrepancies, particularly for conditions like the Christmas tree deformity. The patient experienced positive outcomes in both function and aesthetics, indicating that this procedure could be beneficial in improving the quality of life for individuals with similar presentations.
