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Penile Plication Without Degloving Enables Effective Correction of Complex Peyronie's Deformities.
MedLine Citation:
PMID:  22365444     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To present our initial experience with extended plication repair for men with severe and/or biplanar penile curvature. MATERIALS AND METHODS: A review of men who underwent plication repair for complex penile deformity (biplanar curvature or curvature ≥60°) was performed. All patients underwent tunical plication via a 2-cm penoscrotal incision mobilized distally along the penile shaft without degloving. Angle of curvature, direction(s), stretched penile length (SPL), and number of sutures were recorded. RESULTS: Among 102 patients treated with plication surgery, 43 (44%) had complex penile deformity. Among 11 men with biplanar curvature, median angle in the primary plane of curvature was corrected from 45° to 10° and secondary plane was corrected from 35° to 5° using an average of 7 sutures (5° correction per suture). Among 32 men with severe curvature, median angle of curvature was corrected from 70° to 15° using an average of 11 sutures (6° correction per suture). SPL was unchanged in 29 (69%), increased an average of 0.65 cm in 7 (16%), and decreased 0.5 cm in only 6 (14%) patients. At a mean follow-up of 15.3 months, repeat plication was required in 2 patients and 2 required penile prosthesis. CONCLUSION: Penile plication without degloving appears to be safe and effective for correction of complex penile curvature without significant impact on penile length.
Authors:
Mehrad Adibi; Steven J Hudak; Allen F Morey
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-2-24
Journal Detail:
Title:  Urology     Volume:  -     ISSN:  1527-9995     ISO Abbreviation:  -     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-2-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0366151     Medline TA:  Urology     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Affiliation:
Department of Urology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
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