Surgical treatment of Peyronie's disease based on penile length and degree of curvature
| Autor: | Pero Bokarica, Ivan Gilja, Berislav Mazuran, Josip Parazajder |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty Urologic Surgical Procedures Male Vasodilator Agents Urology Penile Induration Penile Implantation Urologic Surgical Procedure Postoperative Complications Degree of curvature Pharmacotherapy Erectile Dysfunction medicine Humans Alprostadil Surgical treatment Aged business.industry Penile Erection Middle Aged medicine.disease Surgery medicine.anatomical_structure Peyronie's disease business Complication Penis Follow-Up Studies |
| Zdroj: | International Journal of Impotence Research. 17:170-174 |
| ISSN: | 1476-5489 0955-9930 |
| DOI: | 10.1038/sj.ijir.3901255 |
| Popis: | The aim of the study was to present the selection criteria for surgical techniques for the treatment of patients with Peyronie's disease. A total of 55 men with Peyronie's disease were surgically treated. We created specific criteria for selection of the appropriate surgical technique. All patients had a stable disease for 6 months and impossible vaginal intromission. All patients had subjective (as reported by the patient) and/or objective normal penile rigidity (as observed after intracavernous administration of alprostadil). Also, they all underwent drug therapy, which was unsuccessful. Among them, 40 patients with penile curvature of60 degrees and erect penile length of13 cm underwent Nesbit's operation, whereas plaque excision and grafting with polytetrafluoroethylene patch was performed in 15 patients with penile curvature ofor =60 degrees and/or erect penile length ofor =13 cm. At a mean (+/-s.d.) follow-up of 81.1+/-33.8 and 78.7+/-32.8 months, respectively, straightening of the penis was achieved in 35 out of 40 (87.5%) and 12 out of 15 (80%) patients, respectively, whereas erectile dysfunction developed in two out of 40 (5%) and one out of 15 (6%), respectively. Shortening of the penis occurred in all 40 patients undergoing Nesbit's operation, and in none of the patients undergoing plaque excision. Six out of 40 (15%) patients undergoing Nesbit's operation reported subjective perception of penis shortening, whereas none of the patients undergoing plaque excision complained of this discomfort. In conclusion, we recommend the selection of surgical technique based on penile length and degree of curvature. Nesbit's operation is an appropriate surgical technique for the treatment of patients with erect penile length of13 and deviation of60 degrees , whereas the plaque excision and grafting with polytetraflouroethylene patch is a technique of choice in the treatment of patients with erect penile length ofor =13 and/or deviation ofor =60 degrees. |
| Databáze: | OpenAIRE |
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