Long-term results of the surgical treatment of Peyronie's disease with Egydio's technique: a European multicentre study

Abstract

The long-term outcomes of 157 patients affected by Peyronie's disease (PD) who underwent penile straightening with Egydio's technique between January 2004 and December 2008 are reported. Only patients with PD who were stable for at least 6-12 months prior to surgery were enrolled in this study. Preoperative assessment included a dynamic echo colour Doppler ultrasound scan to evaluate the degree of penile deformity and the peak systolic velocity in the cavernosal arteries and an assessment of erectile function with the administration of the International Index of Erectile Function 5 (IIEF-5) questionnaire. Stretched penile length was recorded pre-and postoperatively. Surgical complications, cosmesis and sexual function, patient satisfaction and postoperative erectile function were assessed postoperatively at 3 months, 1 year and 2 years, respectively. After a median follow-up period of 20 months (range: 12-24 months), we found that mild residual curvature (12%) and glans hypoesthesia (3%) were the only causes of partial dissatisfaction. No rejection of the graft was observed. All patients recovered their ability to penetrate with no difficulty. In addition, an intraoperative average increase of 2.5 cm (range: 1.7-4.1 cm) in stretched penile length was recorded, with all patients engaging in penetrative sexual intercourse. In conclusion, this procedure represents a safe and reproducible technique for the correction of penile curvature resulting from PD and yields excellent cosmetic and functional results.

Penile length and girth restoration in severe Peyronie's disease using circular and longitudinal grafting

“…The Egydio technique, which consists of plaque incision and grafting according to geometrical principles, is a valid and highly effective surgical approach for the correction of penile deviations. Recently, a European multicentre study showed that the procedure is a safe and easily reproducible technique for the correction of penile curvature, with excellent cosmetic and functional results [15]. Nevertheless, it must be kept in mind that PD correlates with severe ED; therefore, straightening operations in such cases may not provide the desired benefit, as inadequate rigidity may persist and impede sexual intercourse.…”

Long‐Term Results of Reconstructive Surgery for Peyronie's Disease

“…In up to 46% of patients, adequate straightening is not achieved with grafting alone. In these patients, further straightening should be achieved by plicating the tunica albuginea on the side opposite to the incision rather than by performing additional incisions and grafting, as this is likely to further impair the quality of the erections [44–56].…”

2018 Canadian Urological Association guideline for Peyronie's disease and congenital penile curvature

“…There are three broad categories of TA plaque incision (double-Y, H-shaped, and Egydio geometric) that are made at the point/relative to the maximum curvature on the convex side of the penis, followed by placement of a graft material(autologous, allografts, xenografts, and synthetic) to repair the defect and potentially lengthen the shorter side of the penis. 1,3,[69][70][71][72]76,78,[86][87][88][89][90][91][92][93][94][95][96][97][98][99][100][101] There is a strong trend towards minimal TA disruption, therefore favoring incision or partial excision techniques;…”