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.
Hudak SJ, Morey AF, Adibi M, Bagrodia A. Are you the author?
Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX.
Reference: J Urol. 2012 Sep 24. pii: S0022-5347(12)04978-6.