Document Detail

Favorable Patient Reported Outcomes Following Penile Plication For Wide Array of Peyronie's Deformities.
MedLine Citation:
PMID:  23017514     Owner:  NLM     Status:  Publisher    
OBJECTIVE: We present patient reported outcomes from our 5-year experience using penile plication to correct a wide variety of Peyronie's disease deformities. METHODS: A review of all men who underwent penile plication for Peyronie's disease by the senior author was performed. All patients underwent tunical plication without penile degloving via a 2 cm longitudinal penile incision regardless of curvature severity or erectile function. A concomitant inflatable penile prosthesis (IPP) was placed for men with refractory erectile dysfunction. A questionnaire was administered to assess patient perception of postoperative penile curvature, length, rigidity, and adequacy for intercourse. RESULTS: Among 154 patients treated, 78 (51%) had simple deformity (<60°), 65 (42%) had complex deformity (biplanar curvature or curvature ≥ 60°), and 11 (7%) underwent plication + IPP: 132 patients responded to the questionnaire a mean 14 months after surgery. Overall, 96% of patients reported curvature improvement following penile plication, 93% reported erections adequate for sexual intercourse, and 95% considered their overall condition improved after surgery. Despite significant differences in the number of plication sutures (mean 10 vs. 7 sutures, p<0.005) and curvature angle correction (mean 57° vs. 30°, p<0.005), patient reported outcomes for complex cases were equivalent compared to simple cases. While 84% of patients had no measureable decrease in SPL, most patients (103/154, 78%) reported a perceived reduction in penile length after surgery. CONCLUSION: Penile plication without degloving is an effective method for correction of a wide variety of Peyronie's disease deformities and can be safely combined with IPP placement.
Steven J Hudak; Allen F Morey; Mehrad Adibi; Aditya Bagrodia
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-24
Journal Detail:
Title:  The Journal of urology     Volume:  -     ISSN:  1527-3792     ISO Abbreviation:  J. Urol.     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.
Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX.
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