236 Penile Suspensory Ligament Weakness and its Repair – Myth or Truth?

Ponnusamy, Athi; Vasan, S.S.; Shashidar, B.; Karuppaiah, Karthik

doi:10.1016/j.jsxm.2016.11.151

Cited by 1 publication

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is evident in that the lower satisfaction rates were in patients with Peyronie's disease, a cohort that are known to be dissatisfied mainly because of penile length loss attributable to the condition itself. Ponnusamy et al reported a patient satisfaction rate of 88%, with partner satisfaction of 81%, in a similar study in 43 men, providing further evidence for high patient satisfaction rates. Functionally, the procedure produces positive results, as is typified by the resolution of 100% of the venogenic ED present prior to surgery; however, the fact that four patients developed ED after surgery shows that functional complications remain a risk.…”

Section: Discussionmentioning

confidence: 80%

Repair of the penile suspensory ligament for congenital and acquired pathology

et al. 2019

View full text Add to dashboard Cite

Objective To review the mechanisms and patient outcomes for men presenting with abnormalities of the penile suspensory ligament (PSL) and their correction. Patients and Methods We conducted a retrospective review of a total of 118 patients who presented with a variety of PSL abnormalities that necessitated surgical repair from 1993 to 2018. The patients mean (range) age at presentation was 29 (12–60) years with a mean (range) follow up of 8 months (3 months–12 years). The diagnosis was made clinically, often with a history of penile instability, pain or curvature/torsion, which was confirmed on artificial erection testing. Nocturnal tumescent testing and magnetic resonance imaging were used where necessary. The surgical repair was performed by placing non‐absorbable sutures between the tunica albuginea of the penis and the symphysis pubis. Postoperative outcomes were reported in the clinic by direct questioning and a repeat of the investigations above when patients were unsatisfied with the result. Results The aetiologies and surgical indications in the 118 patients included: abnormality subsequent to sexual trauma (n = 66); congenital curvature of penis and/or congenital absence/laxity of the ligament (n = 37); Peyronie's disease (n = 8); and venogenic erectile dysfunction (ED; n = 7). A good surgical result, as defined by stabilization and straightening of the penis and a return to normal sexual function, was achieved in 85% of the patients and 82% were very satisfied with the outcome. Complications included long‐term ED in four patients. Conclusion Abnormalities of the PSL are uncommon and often subtle, but with the appropriate diagnosis, a good cosmetic and functional result is usually achievable.

show abstract

Section: Discussionmentioning

confidence: 80%