| Favorable Patient Reported Outcomes Following Penile Plication For Wide Array of Peyronie's Deformities. | |
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MedLine Citation:
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PMID: 23017514 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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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. |
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Authors:
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Steven J Hudak; Allen F Morey; Mehrad Adibi; Aditya Bagrodia |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-9-24 |
Journal Detail:
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Title: The Journal of urology Volume: - ISSN: 1527-3792 ISO Abbreviation: J. Urol. Publication Date: 2012 Sep |
Date Detail:
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Created Date: 2012-9-28 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0376374 Medline TA: J Urol Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2012 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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