Surgical Planning and Strategies for Peyronie's Disease

Almeida, João Lemos; Felício, João; Martins, Francisco E.

doi:10.1016/j.sxmr.2020.07.008

Cited by 14 publications

(3 citation statements)

References 35 publications

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“…The disease has two phases; acute and chronic. The acute phase is characterized by penile pain and inflammation, which lasts up to 18 months 3 . The eventual result of this inflammation is a penile deformity, and surgical interventions are prohibited during this period.…”

Section: Introductionmentioning

confidence: 99%

Saphenous Vein Graft for Treatment of Peyronie’s Disease, a Comparison between Single and Multiple Graft Reconstruction

Tabassi

Mottaghi²,

Nekooei³

et al. 2022

WJPS

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Background: Surgical reconstruction is the gold standard of treatment for Peyronie's disease (PD). Grafting procedures provide satisfactory outcomes in patients with complex curvature, short penile length, and without previous erectile dysfunction (ED). We aimed to compare two different grafting methods of reconstruction in patients with PD.Method: Fifty-two PD patients at Imam-Reza hospital of Mashhad from October 2011 to January 2019 with stable plaque, penile angulation of >60˚, complex curvature, and without ED who consented to cooperate, included in our study and divided into two groups. The first group consists of 26 patients, undergone grafting through a double-Y incision and a single saphenous graft placed within the incision. For the second group, two smaller saphenous vein grafts were placed in the two parallel incisions. ED assessed pre-and postoperational via the International index of erectile function. Penile angulation less than 20 degrees was considered a favorable outcome. Patients followed for 18 months, and sacculation, penile shortening, post-operation infection, and penile hypoesthesia were assessed as complications. We used a paired t-test to compare these two groups.Results: ED was 25% and 12% in the first and the second group, respectively. Statistics showed no difference between the two groups regarding pre and post-operational ED (P=0.1). Regarding complications during follow-up, sacculation occurred in four patients of the first group and none of the second group patients but no significant difference (P=0.23). Conclusion:We found no superiority to declare between these two procedures, although regarding the small sample size of our study, further evaluations are needed to establish more reliable results.

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Section: Introductionmentioning

confidence: 99%

Saphenous Vein Graft for Treatment of Peyronie’s Disease, a Comparison between Single and Multiple Graft Reconstruction

Tabassi

Mottaghi²,

Nekooei³

et al. 2022

WJPS

View full text Add to dashboard Cite

show abstract

“…Herein, satisfaction rates oscillate between 62% and 96% for plication surgery and between 88.0% and 92.0% for incision/grafting surgery. 2 Interestingly, the CCH group showcased an edge in terms of pain, shortening, swelling, and sensation loss over the surgery group at the 3-month mark. It should be emphasized that a 3-month window might be insufficient for a holistic assessment, especially since many patients might defer sexual activities during this period.…”

mentioning

confidence: 96%

“…The triad of surgical strategies includes convex side shortening (plication or tunical shortening procedures), concave side lengthening (grafting or tunical lengthening techniques), and penile prosthesis implantation. 2 The choice of procedure hinges on the penile length assessment, curvature severity, and erectile function status. Nevertheless, contemporary surgical interventions grapple with challenges like penile shortening, lump persistence, and sensory or rigidity loss, mandating innovations and refinements in the future.…”

mentioning

confidence: 99%