The Therapeutic Effects of Intracavernosal Plaque Excision in Peyronie's Disease: A None Grafting or Tunical Excising Procedure

Current surgical treatments in Peyronie's disease are accompanied by complications such as penile shortening, loss of sensation, erectile dysfunction and recurrence of disease. The aim of this study was the evaluation of clinical results of intracavernosal plaque excision in Peyronie's disease.

The operation was performed on 35 men. It was consisted of incising the tunica albuginea parallel to the plaque and through this incision, and the plaque was removed from the inside surface without excision or replacing the underlying tunica albuginea by grafts. All patients were evaluated before and periodically within 12 months after the surgery with measurement of penile length, curvature angle in the rigidity phase, and sexual satisfaction.

The mean age of patients was 51.4±5.3 years (range 42-59 years). The angle of penile curvature was 25-45° (mean=35°). Thirty patients (86%) obtained a nearly complete straightening of penis. All patients restored their previous penile length without any disorder of sensation within the glans penis and expressed improvement of sexual activity.

Intracavernosal plaque excision is a simple, easy and minimal invasive method that does not result in penile shortening, loss of sensation or erectile dysfunction. In properly selected patients, this technique can lead to acceptable elimination of penile curvature and sexual satisfaction.

World journal of plastic surgery. 2016 Jan [Epub]

Hassan Ahmadnia, Ali Kamalati, Mehdi Younesi Rostami, Mohammad Mehdi Imani, Amir Abbas Asadpour, Mohammad Kazem Hariri

Department of Urology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran;, Department of Urology, Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran;, Department of Urology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran., Department of Urology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran;, Department of Urology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran;, Department of Urology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran;

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