Clinical characteristics and surgical outcomes in men undergoing tunica albuginea plication for congenital penile curvature who present with worsening penile deformity

Ziegelmann, Matthew; Farrell, M. Ryan; Levine, Laurence A.

doi:10.1007/s00345-019-02787-7

Cited by 8 publications

(5 citation statements)

References 59 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, these changes did not affect the subjective perception of the results of treatment. In general, the data are consistent with the results of the Shaeer CR surgery [ 22 ] and various TAP modifications [ 11 – 13 ].…”

Section: Discussionsupporting

confidence: 88%

“…In general, the effectiveness of TAP is about 90-100% in the first postoperative year, typically accompanied by a loss of sensitivity of the glans penis (8.3% in the first year after surgery) and its shortening (26.6-80%; from 1.5 up to 3-5 cm, depending on the bend) [11][12][13][14][15]. Long-term results indicate a 35-48% risk of curvature recurrence, as well as the risk of anxiety about palpable indurations in the plication area [13,16].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The effectiveness of penile curvature treatment by cavernous body rotation and plication of the tunica albuginea

Vorobev

Белобородов

Sherbatykh

et al. 2023

Basic Clin. Androl.

View full text Add to dashboard Cite

Background There are several approaches to the surgical treatment of the penile curvature conditionally divided into three large groups: tunica albuginea plication (TAP), corpus cavernosum rotation (CR), and transplantation of various materials. The study aims to compare the effectiveness of TAP and CR techniques in the treatment of penile curvature. There was a prospective randomized study of the effectiveness of surgical treatment of patients with an established diagnosis of the penile curvature from 2017 to 2020 in Irkutsk, Russian Federation. The final analysis of the results included 22 cases. Results The analysis of the comparative intergroup effectiveness of the treatment performed based on the criteria established in the study showed good treatment results in 8 (88.8%) patients in the CR group and 9 (69.2%) patients in the TAP group (p = 0.577). The other patients obtained satisfactory results. There were no negative outcomes. Simple logistic regression analysis showed that the preoperative flexion angle > 60 degrees (OR 2.7; 95% CI 0.12; 5.28; p = 0.040) was significant in predicting the complaints of penile shortening during TAP. Both methods are safe, effective, and bring minimal risk of complications. Conclusion Thus, the effectiveness of both treatment methods is comparable. However, TAP surgery is not recommended for patients with an initial curvature of more than 60 degrees.

show abstract

Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

The effectiveness of penile curvature treatment by cavernous body rotation and plication of the tunica albuginea

Vorobev

Белобородов

Sherbatykh

et al. 2023

Basic Clin. Androl.

View full text Add to dashboard Cite

show abstract

“…A search in the scientific literature retrieved a single article that approaches on the subject (50).…”

Section: Discussionmentioning

confidence: 99%

“…In presenting the results of their study, the Authors made no reference to CPC as a possible risk factor for PD. The study included a sample of 60 patients who had already undergone tunica albuginea plication surgery (50). The authors specified that 21 patients reported worsening over time of the original congenital curve.…”

Section: Discussionmentioning

confidence: 99%

Congenital penile curvature as a possible risk factor for the onset of Peyronie's disease, and psychological consequences of penile curvature

Paulis¹,

Paulis²,

Perletti

2023

Arch Ital Urol Androl

View full text Add to dashboard Cite

Objective: To investigate a possible relationship between a history of congenital penile curvature (CPC) and Peyronie's disease (PD), and to characterize the psychological profile of patients suffering from PD, with or without concomitant CPC. Methods: We included 519 patients with Peyronie's disease (PD), of which 73 were found to have underlaying CPC. As a comparator population, we selected 2166 patients without PD, referring to our tertiary care clinic. In this population we detected 15 subjects with CPC. All patients completed the GAD-7 (Generalized-Anxiety-Disorder - 7 questions) and the PHQ-9 (Patient-Health-Questionnaire - 9 questions) questionnaires. Results: The overall prevalence of CPC in PD-patients was 14.07%, compared to a prevalence of 0.69% in the non-PD control population (p < 0.00001). Moderate-to-severe anxiety was found to be present in 89.4% of all PD-patients.Significantly higher proportions of patients with CPC associated with PD showed severe anxiety, compared to patients with PD alone (57.5% vs. 36.7%, respectively, p = 0.0008). Moderate- severe depression was found to be present in 57.8% of all PD- patients. Significantly higher proportions of PD patients with a history of CPC showed severe depression, compared to patients with PD alone (13.6% vs. 3.36%, respectively, p < 0.0002). GAD-7 median scores were significantly higher in patients with more severe penile curvatures (> 45°; p = 0.029). We did not detect a statistically significant difference between PHQ-9 medi- an scores based on the severity of PD (p = 0.53). Analysis of PHQ-9 and GAD-7 median scores showed significantly worse depressive and anxious symptoms in younger patients(p < 0.001 and p = 0.0013, respectively). Conclusions: The presence of congenital-penile-curvature may represent a risk factor for the subsequent onset of Peyronie's disease. Moderate/severe anxiety and moderate/severe depression were reported in a high fraction of cases. Anxiety was significantly higher in patients with more severe penile-curvatures, and depression was present independently of the degree of penile curvature. Depression and anxiety were found to be more severe in younger subjects.

show abstract

“…One group of men-those with congenital penile curvature (CPC) who develop new-onset worsening-are of particular interest, as the evolution of their condition is not entirely attributable to the pathogenesis of Peyronie's disease. Ziegelmann et al share their experience with tunica albuginea plication (TAP) in men suffering from CPC with worsening curvature and show that TAP is an efficacious treatment option for these men [8].…”

mentioning

confidence: 99%

Peyronie’s disease in contemporary urological practice

Mills

Eleswarapu

2019

World J Urol

View full text Add to dashboard Cite

Clinical characteristics and surgical outcomes in men undergoing tunica albuginea plication for congenital penile curvature who present with worsening penile deformity

Cited by 8 publications

References 59 publications

The effectiveness of penile curvature treatment by cavernous body rotation and plication of the tunica albuginea

The effectiveness of penile curvature treatment by cavernous body rotation and plication of the tunica albuginea

Congenital penile curvature as a possible risk factor for the onset of Peyronie's disease, and psychological consequences of penile curvature

Peyronie’s disease in contemporary urological practice

Contact Info

Product

Resources

About