Surgical Correction of Severe Peyronie's Disease without Plaque Excision

Js, Sampaio; Passarinho, A; Ag, Oliveira; Cristino, Joaquim; Madeira, Aniele Vilarino; Cardoso, P.G.; Bello, Nicholas

doi:10.1159/000474739

Cited by 18 publications

(7 citation statements)

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“…The surgical procedures are based on dif ferent principles. ( 1 ) implication of penile prosthesis [ 17,18]; (2) plaque excision using dermal graft [19], dural graft [21], dacron patches [22]; (3) corporoplasty with excision of the tunica albuginea [ 1,23] or plication of the tunica albuginea [11].…”

Section: Discussionmentioning

confidence: 99%

“…The tendency of the disease is stabilisation, so a pre operative period with absence of disease activity is indis pensable, in the view of all authors performing different types of corporoplasty [10,[23][24][25][26]. Despite the stability of at least 6 months, a relapse of the curvature due to progression occurred in 2 men (11.8%); Bailey et al [10] reported a 12.3% recurrence rate.…”

Section: Discussionmentioning

confidence: 99%

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Modified Surgical Technique to Correct Congenital and Acquired Penile Curvature

1991

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Modified Surgical Technique to Correct Congenital and Acquired Penile Curvature

1991

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“…The main objection to the excision is a more frequent development of postoperative erectile dysfunction due to venous leak. 19,20 However, we consider the size of the defect in the tunica albuginea not correlated with the greater risk of veno-occlusive dysfunction, as confirmed by Yurkanin et al, 21 and that was the main reason for our decision to perform excision and not the plaque incision. Recent studies have shown a significant 30% postoperative erectile dysfunction in incision or partial plaque excision.…”

Section: Discussionmentioning

confidence: 69%

Surgical treatment of Peyronie's disease based on penile length and degree of curvature

et al. 2004

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The aim of the study was to present the selection criteria for surgical techniques for the treatment of patients with Peyronie's disease. A total of 55 men with Peyronie's disease were surgically treated. We created specific criteria for selection of the appropriate surgical technique. All patients had a stable disease for 6 months and impossible vaginal intromission. All patients had subjective (as reported by the patient) and/or objective normal penile rigidity (as observed after intracavernous administration of alprostadil). Also, they all underwent drug therapy, which was unsuccessful. Among them, 40 patients with penile curvature of o601 and erect penile length of 413 cm underwent Nesbit's operation, whereas plaque excision and grafting with polytetrafluoroethylene patch was performed in 15 patients with penile curvature of Z601 and/or erect penile length of r13 cm. At a mean (7s.d.) follow-up of 81.1733.8 and 78.7732.8 months, respectively, straightening of the penis was achieved in 35 out of 40 (87.5%) and 12 out of 15 (80%) patients, respectively, whereas erectile dysfunction developed in two out of 40 (5%) and one out of 15 (6%), respectively. Shortening of the penis occurred in all 40 patients undergoing Nesbit's operation, and in none of the patients undergoing plaque excision. Six out of 40 (15%) patients undergoing Nesbit's operation reported subjective perception of penis shortening, whereas none of the patients undergoing plaque excision complained of this discomfort. In conclusion, we recommend the selection of surgical technique based on penile length and degree of curvature. Nesbit's operation is an appropriate surgical technique for the treatment of patients with erect penile length of 413 and deviation of o601, whereas the plaque excision and grafting with polytetraflouroethylene patch is a technique of choice in the treatment of patients with erect penile length of r13 and/or deviation of Z601.

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“…30 The portuguese urologist Sousa Sampaio described a similar technique consisting in creating multiple or single I-shaped dorsal defects covered with dura-mater with good success, in spite of the initial small series. 31 In 1991, Gelbard et al closed the gaps using temporalis fascia grafts. In fact, autologous materials are an excellent option for they are a natural tissue without additional costs for the patient: rectus muscle aponeurosis, tunica vaginalis, saphenous vein, fascia lata, and a variety of other autogenous materials.…”

Section: Tunica Plication: Procedures That Shorten the Tunicamentioning

confidence: 99%

Recent surgical advances in Peyronie’s Disease

Gaspar¹,

Dias²,

Martins³

et al. 2016

Acta Med Port

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RESUMOIntrodução: A doença de Peyronie, uma doença fibrótica da túnica albuginea do pénis tem estado associada a encurtamento peniano e a algum grau de disfunção eréctil. Afeta a qualidade de vida do doente, levando a stress psicológico, mental e físico. A deformidade peniana perturba a vida sexual do doente, levando a episódios de depressão, disfunções sexuais e a ansiedade associada ao ato sexual. A etiologia da doença de Peyronie permanece por esclarecer. Material e Métodos: A pesquisa na literatura foi efetuada nas bases de dados da Medline, Embase e Cochrane no mês de Janeiro de 2015 no sentido de identificar artigos relacionados com a doença de Peyronie, nomeadamente o tratamento cirúrgico, técnicas, resultados bem como tratamentos complementares. Publicações que não envolvessem humanos não foram consideradas. Identificámos artigos originais, artigos de revisão e editoriais acerca do assunto em questão. Todos os artigos publicados na língua inglesa foram selecionados para screening. Os critérios de elegibilidade para inclusão envolveram a relevância associada ao tema. Resultados: Existe uma variedade de deformidades penianas associada com a doença de Peyronie que ainda não têm uma solução não cirúrgica que seja eficaz. Apresentamos uma atualização das técnicas cirúrgicas atuais bem como o algoritmo de tratamento associada a esta doença. Discussão: Todos os tratamentos cirúrgicos têm como objetivo a correção da curvatura, a preservação da função eréctil e do comprimento peniano, bem como o de minimizar a morbilidade. Conclusão: Até à data não existem estudos de medicina baseada na evidência que determinem o melhor tratamento cirúrgico para a doença de Peyronie. Após o diagnóstico, a reconstrução cirúrgica deve ter como objetivo um pénis funcional, com uma retificação da sua curvatura que permita o acto sexual. Palavras-chave: Induração Peniana; Pénis/cirurgia; Procedimentos Cirúrgicos Urológicos Masculinos; Prótese de Pénis. ABSTRACT Introduction:Peyronie's disease, a fibrotic disorder of the tunica albuginea of the penis, has been associated with penile shortening and some degree of erectile dysfunction. It affects patient's quality of life, leading to severe psychological, mental, and physical stress. Penile deformation hampers sexual life leading to depression, lack of sexual confidence, loss of sexual function and performance anxiety. Peyronie's disease etiology is yet to be known. Material and Methods: Literature search was conducted in Medline, Embase, and Cochrane databases in January 2015 in order to identify papers related to Peyronie's disease, concerning evolving surgical management, technique, outcomes as well as ancillary treatments. Publications not concerning humans were not considered. We identified original articles, review articles, and editorials addressing the subject. All articles published in the English language were selected for screening. The eligibility criteria for inclusion were based on relevance concerning the subject. Results:The variety of penile deformities associated with P...

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Surgical Correction of Severe Peyronie's Disease without Plaque Excision

Cited by 18 publications

References 1 publication

Modified Surgical Technique to Correct Congenital and Acquired Penile Curvature

Modified Surgical Technique to Correct Congenital and Acquired Penile Curvature

Surgical treatment of Peyronie's disease based on penile length and degree of curvature

Recent surgical advances in Peyronie’s Disease

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