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.
Written by:
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.
doi: 10.1016/j.juro.2012.09.085
PubMed Abstract
PMID: 23017514
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