Surgical Reconstruction of Penile Curvature due to Peyronie’s Disease by Plaque Incision and Buccal Mucosa Graft
| Autor: | Abduzhappar Gaipov, Gafur Khairli, Daniyar Akhmetov, Yernur Ainayev, Ulanbek Zhanbyrbekuly, Kainar Kadyrzhanuly, Makhmud Suleiman, Ulan Zhaparov, Nurlan Kissamedenov |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Urology Endocrinology Diabetes and Metabolism Penile Induration 030232 urology & nephrology Buccal mucosa 03 medical and health sciences 0302 clinical medicine Endocrinology Patient satisfaction Erectile Dysfunction medicine Humans In patient Prospective Studies 030219 obstetrics & reproductive medicine business.industry Mouth Mucosa Mean age Middle Aged medicine.disease Surgery Psychiatry and Mental health Treatment Outcome Erectile dysfunction Reproductive Medicine Patient Satisfaction Doppler ultrasound Penile curvature Peyronie's disease business Penis |
| Zdroj: | The Journal of Sexual Medicine. 18:1308-1316 |
| ISSN: | 1743-6109 1743-6095 |
| DOI: | 10.1016/j.jsxm.2021.04.009 |
| Popis: | Background/aim We aimed to evaluate the effectiveness and safety of penile plaque incision and buccal mucosa grafting in patients with stable-phase Peyronie’s disease (PD). Methods This was a prospective evaluation of patients with stable-phase PD who were treated by plaque incision and buccal mucosa grafting. Preoperative evaluation included International Index of Erectile Function Questionnaire (IIEF-5), measurement of erect penile length, and penile Doppler ultrasound during prostaglandin-induced erection. At 3- and 24-month follow-up visits, penile length and residual curvature were measured along with penile Doppler ultrasound and IIEF5 questionnaires. Patient and sexual partner satisfaction were also assessed at 24-month-visit. RESULTS The study was completed with 20 patients (mean age 46.5 ± 9.9 years). Dorsal curvature was the most frequent site of curvature (45%). The median curvature at preoperative evaluation was 45°(range 40-90°). The postoperative median curvatures were 5°(5-10, IQR) and 7°(5-10, IQR) at 3- and 24-month postoperatively, respectively. Success rate was 95% at 3-month and 90% at 24-month. There was no significant penile shortening. The mean IIEF-5 score was 17.5 ± 2.2 at preoperative evaluation. The median IIEF-5 scores were calculated as 20.1 ± 2.2 and 21.3 ± 2.2 at 3-month and 24-month visits, respectively (p CONCLUSION Corporoplasty with buccal mucosa graft led to excellent structural and functional results and patient satisfaction. |
| Databáze: | OpenAIRE |
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