Modified Surgical Technique to Correct Congenital and
Acquired Penile Curvature

Knispel, Helmut H.; Gonnermann, D.; Huland, Hartwig

doi:10.1159/000471676

Cited by 43 publications

(32 citation statements)

References 20 publications

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“…An 'inverting stitch-technique' for burying Essed -Schroeder procedure with non-absorbable Goretex 2 suture EW Hauck et al the knots was used with the intention of avoiding disturbing effects caused by plication nodes ( Figure 3). 9 After plication, artificial erection was repeated to ascertain the result of the procedure (Figure 4). A curvature ranging from < 10 to normal was defined as the therapy goal.…”

Section: Surgical Techniquementioning

confidence: 99%

“…8 This complication can be avoided by using an 'inverting stitch-technique' that buries the knots into the tunical tissue. 9 One major complication of the Essed -Schroeder technique appears to be recurrent curvature, that has been observed in several long-term studies. 8,10 -12 The pathophysiological reason for this recurrent curvature has not been elucidated, because non-absorbable sutures have been used in all studies.…”

Section: Introductionmentioning

confidence: 99%

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Long-term results of Essed–Schroeder plication by the use of non-absorbable Goretex™ sutures for correcting congenital penile curvature

et al. 2002

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This study evaluated the long-term outcome of the Essed -Schroeder procedure for correcting congenital penile curvature using non-absorbable Goretex 2 sutures. The Essed -Schroeder procedure was performed in 35 patients with congenital ventral penile curvature (minimum 30). Follow-up included a standardized interview with measurement of angulation. Twenty-three of 35 patients were available for complete long-term follow-up (average 34.3 months). The mean preoperative ventral curvature was 54. In 17=23 patients, the penis remained straightened. Recurrent curvature (average 23 ) was observed in six of 23 patients. Fifteen of 23 patients complained of penile shortening (average 1.8 cm). Two of 23 patients reported disturbing side effects that were caused by plication nodes. In most cases, the results of penile straightening by the Essed -Schroeder procedure are excellent with a high grade of subjective satisfaction. Regarding the main problem, that is recurrent curvature, there is no decisive advantage of applying Goretex 2 sutures. Discomfort caused by plication nodes can be reduced to a minimum by using a combination of soft Goretex 2 sutures with the 'inverting stitch-technique'.

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Section: Surgical Techniquementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Long-term results of Essed–Schroeder plication by the use of non-absorbable Goretex™ sutures for correcting congenital penile curvature

et al. 2002

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“…The risk of recurrence of deviation is higher in PD because of the progression of penile deviation. However, in CPD there can be early failures and later recurrences, possibly because of insufficient sutures, breakage of sutures, occurrence of granuloma or the passage of sutures through the tissue of the tunica albuginea [5,12,13,15,16]. The present results show excellent low recurrence rates for CPD using six sutures (either polypropylene or Goretex 3/0) and using the inverted suture technique [5,17].…”

Section: Discussionmentioning

confidence: 48%

“…Following Knispel et al [5], the Essed-Schröder tunical plication was carried out with the inverted-…”

Section: Methodsmentioning

confidence: 99%

“…In contrast to the present assessment focusing on the experience of the patient, the evaluation is often based only on more objective variables, e.g. the degree of correction, the ability to achieve vaginal intromission, the tendency to relapse and complication rates [3][4][5][6]. To achieve comparable results we used a modified questionnaire [2].…”

Section: Introductionmentioning

confidence: 99%

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Treatment of penile curvature with Essed‐Schröder tunical plication: aspects of quality of life from the patients’ perspective

et al. 2003

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RESULTSOf the 50 patients, 22 had a congenital penile deviation and 28 Peyronie's disease. In all patients the penis was completely straightened. The proportion of patients capable of sexual intercourse was significantly higher after surgery (90%) than before (62%). The frequency of pain during intercourse was halved. Of the 50 patients, 60% would have the same operation again, 32% were undecided and 8% would not; 22% were dissatisfied with the results. None of the patients had complete erectile dysfunction after surgery; 74% reported a decrease in penile length and 78% of the patients' partners were satisfied with the outcome. CONCLUSIONSThe tunical plication procedure is simple and minimally invasive for correcting penile deviation. In the opinion of most patients the Essed-Schröder method provides a significant improvement in sexual function and quality of life with maximum protection of erectile function. KEYWORDScongenital penile deviation, Peyronie's disease, tunica plication, quality of life OBJECTIVESTo investigate retrospectively the long-term functional results and quality of life of patients undergoing the Essed-Schröder procedure (a simple plication of the tunica albuginea) to correct penile deviation, using a standardized questionnaire.

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Peyronie’s Disease and Congenital Penile Curvature

Angermeier

Operative Urology at the Cleveland Clinic

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Modified Surgical Technique to Correct Congenital and Acquired Penile Curvature

Cited by 43 publications

References 20 publications

Long-term results of Essed–Schroeder plication by the use of non-absorbable Goretex™ sutures for correcting congenital penile curvature

Long-term results of Essed–Schroeder plication by the use of non-absorbable Goretex™ sutures for correcting congenital penile curvature

Treatment of penile curvature with Essed‐Schröder tunical plication: aspects of quality of life from the patients’ perspective

Peyronie’s Disease and Congenital Penile Curvature

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