Is Degloving the Best Method to Approach the Penile Corporoplasty With Yachia's Technique?

Dell’Atti, Lucio; Polito, Massimo; Galosi, Andrea Benedetto

doi:10.1016/j.urology.2018.12.040

Cited by 7 publications

(6 citation statements)

References 21 publications

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“…Moreover, it is important not to underestimate the use of resorbable sutures, as it allows to avoid foreign body granuloma formation, with the unpleasant feeling of a knot on the dorsal surface of the penis, which may be responsible for pain and annoyance during sexual activity. Even if we believe that this technique could be performed avoiding the degloving of the penis, exposing the corpora cavernosa using a transverse infrapubic skin incision (Dell'Atti et al, 2019), in our preliminary experience we preferred to perform degloving for a complete visualisation of the dorsal vascular bundle. Main limitations of the study could be considered the different patient ages and the lack of a control group.…”

Section: Ta B L E 1 the Table Summarises The Characteristics Of Patiementioning

confidence: 99%

Giammusso corporoplasty for the treatment of isolated congenital ventral penile curvature: Results and long‐term follow‐up

Bagnara¹,

Arena

Castagnetti

et al. 2020

Andrologia

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Penile deviation may be a congenital condition, isolated or associated with urethral plate malformation such as hypospadias, or linked to an acquired abnormality, such as La Peyronie or induration penis disease. Isolated congenital penile curvature (CPC) would appear to be caused by an asymmetric, inharmonious growth of the tunica albuginea of the corpora cavernosa, disproportionate corpora length and increased elasticity of the tunica. The dorsal tunica albuginea ultrastructure appears to have enlarged and fragmented collagen fibres with a chaotic pattern. Disappearance of the physiological striation has also been observed along with transformation into electron dense, fibrous, granular material, which is not present in the ventral tunica albuginea (Darewicz et al., 2001). Ventral curvature is the most frequent deviation among congenital cases, followed by lateral and dorsal curvature. In some patients, the curvature may be associated with penile rotation. CPC incidence ranges between 0.04% and 0.6%, and in 50% of cases, the curvature is ventral (Ozkuvanci et al., 2017). The curvature could only be seen during erection, spontaneously or drug-induced, and, depending on

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Section: Ta B L E 1 the Table Summarises The Characteristics Of Patiementioning

confidence: 99%

Giammusso corporoplasty for the treatment of isolated congenital ventral penile curvature: Results and long‐term follow‐up

Bagnara¹,

Arena

Castagnetti

et al. 2020

Andrologia

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“…The complication rate due to this type of surgery was reported as nearly 5%. 8 The rate of complications depends upon multiple factors, including anatomical abnormalities, medical comorbidities, surgical technique, sterility of the conditions and the patient's age, and increases when the surgery is performed by inexperienced people. 9 The most common complication is bleeding, with an incidence that varies from 0.1% to 3.1%.…”

Section: Discussionmentioning

confidence: 99%

“…9 The most common complication is bleeding, with an incidence that varies from 0.1% to 3.1%. 8,9 Bleeding from larger blood vessels can be controlled easily by ligature or electrocoagulation, although excessive electrocoagulation carries the risk of electrical burns and necrosis. 10 The CO 2 laser was one of the earliest types of laser systems to be found.…”

Section: Discussionmentioning

confidence: 99%

<p>Technology Meets Tradition: CO<sub>2</sub> Laser Circumcision versus Conventional Surgical Technique</p>

Ronchi

Manno

Dell’Atti

2020

RRU

Self Cite

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We wished to present the clinical applications and to evaluate the benefits of the use of a carbon dioxide (CO 2) laser versus the conventional procedure for circumcision in adults, in terms of duration of surgery, surgical techniques, complications, pain and cosmetic appearance. Patients and Methods: The medical records of 482 patients who had been circumcised were retrospectively evaluated. The patients were divided into two groups: 168 patients (Group A) were circumcised with traditional techniques; and 314 patients (Group B) were circumcised using a CO 2 laser. All the patients were circumcised under local anesthesia. Pain was evaluated using a verbal numerical rating scale for pain assessment. Postoperative wound swelling, bleeding, infection and pain were assessed at 4 hours, 24 hours and 7 days after surgery. Results: There were no significant differences between the two groups in terms of bleeding and infections. The difference in operating times between the groups was significant (p<0.001). Wound disruptions occurred in one patient in Group A at 3 days and two patients in Group B at 1 week. Pain scores were low and there was less pain in Group B than in Group A during the first 4 hours (1.8 vs 3.7; p<0.002). Compared with the conventional method, the CO 2 laser technique was associated with much less pain at both 1 day (p<0.002) and 7 days (p<0.001) postoperatively. The cosmetic results were superior in Group B; a linear surgical scar developed in 94.9% of patients in Group B versus 61.3% in Group A (p<0.001). Conclusion: Our results show that the use of a CO 2 laser was associated with a shorter operative time, less wound irritation and better cosmetic appearance compared with standard surgical techniques for circumcision.

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“…In the following years various modifications to Nesbit's technique were suggested such as the Yachia corporoplasty technique with or without penile degloving. According to the literature the outcomes of the "degloving" and "without degloving" techniques are similar (18).…”

Section: Discussionmentioning

confidence: 99%

Prepuce-sparing corporoplasty as a safe alternative for patients with acquired penile curvature

Rose

Ambrosini

Mantica

et al. 2020

Arch Ital Urol Androl

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Objectives: penile curvature is a rare condition, classified as congenital or acquired (Peyronie’s disease) (PD). Surgical correction is the standard treatment. It’s common practice to associate circumcision with penile de-gloving to prevent complications. In this paper we evaluate the feasibility of penile surgery avoiding circumcision. Materials and methods: patients presenting with penile curvature were treated using a modified Nesbit procedure. Patients were divided into group A if they opted for a prepuce-sparing surgery and the others into group B. Patients were evaluated pre and postoperatively and postoperative complications were assessed. The 5-item International Index of Erectile Function (IIEF-5) was administered before and 6 months after surgery and we compared the difference of mean value using T-Test. Results: Group A and B were made of 53 and 16 patients respectively. Median age was 59 years [interquartile range (IQR) 12] in A and 62 (IQR 9) in B (p = 0.2). Median curvature was 40° (IQR 40°) in A and 40 ° (IQR 30°) in B (p = 0.62). Mean difference between pre- and post-operative IEFF was 1.9 ± 2 in A and 2.6 ± 2.1 in B (p = 0.36). Conclusions: According to our experience, surgical correction of penile curvature without performing circumcision could be a safe and feasible strategy. We recommend performing circumcision only in patients who present with pre-operative phimosis.

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Is Degloving the Best Method to Approach the Penile Corporoplasty With Yachia's Technique?

Cited by 7 publications

References 21 publications

Giammusso corporoplasty for the treatment of isolated congenital ventral penile curvature: Results and long‐term follow‐up

Giammusso corporoplasty for the treatment of isolated congenital ventral penile curvature: Results and long‐term follow‐up

<p>Technology Meets Tradition: CO<sub>2</sub> Laser Circumcision versus Conventional Surgical Technique</p>

Prepuce-sparing corporoplasty as a safe alternative for patients with acquired penile curvature

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