Abstract Introduction Peyronie’s disease (PD) is a fibrotic disorder of the tunica albuginea that leads to penile curvature, deformity, and sexual dysfunction. Surgery remains the gold standard for patients with stable disease and significant deformity impairing sexual intercourse. We aimed to review our center’s experience and outcomes with the surgical treatment of PD. Objective This study aimed to evaluate the surgical techniques used, postoperative outcomes, and functional results in patients treated for PD at our center. Methods We conducted a retrospective review of 140 patients who underwent surgery for PD between 2015 and 2024. Demographic data, comorbidities, type of surgical procedure, postoperative complications, and sexual activity after surgery were collected and analyzed. Results The mean age was 63.8 years, and the mean BMI was 26.4 kg/m2. Hypertension and type 2 diabetes mellitus were present in 46% and 24% of patients, respectively. The most frequently performed procedures were Nesbit plication (83%), Essed–Schroeder plication (10%), and Yachia plication (3%); grafting techniques with pericardial or Tachosil patches were used in a minority of cases (3%). The mean follow-up was 5.2 months. No early postoperative complications were recorded. At follow-up, 46% of patients reported resumption of satisfactory sexual intercourse. Conclusions Our results confirm that plication techniques, particularly the Nesbit procedure, are safe and effective surgical options for the correction of penile curvature in PD, with low complication rates and good functional outcomes. Disclosure No
Lourenço et al. (Mon,) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: