Venous Patch Graft for Peyronie's Disease. Part Ii: Outcome Analysis

No AccessJournal of UrologyClinical Urology: Original Articles1 Dec 1998VENOUS PATCH GRAFT FOR PEYRONIE'S DISEASE. PART II: OUTCOME ANALYSISis corrected byERRATA AHMED I. EL-SAKKA, HASHEM M. RASHWAN, and TOM F. LUE AHMED I. EL-SAKKAAHMED I. EL-SAKKA , HASHEM M. RASHWANHASHEM M. RASHWAN , and TOM F. LUETOM F. LUE View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)62240-7AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We evaluate the results of tunical incision and venous patch grafting for correcting penile deformity in Peyronie's disease. Materials and Methods: In 112 patients with symptoms of Peyronie's disease for more than a year indications for surgery included penile shortening, persistent pain, severe curvature, penile narrowing or indentation and/or failure of previous surgery. Preoperative evaluation included determination of patient and partner expectation, potency status, circumcision status, measurement of penile length (short and long side) and saphenous vein, and color duplex ultrasonography to evaluate possible accessory vascular communication. Patients underwent plaque incision and venous patch grafting. The configuration, size and number of tunical incisions depended on the size and shape of the lesion. Lower and upper saphenous, and deep dorsal veins served as the graft materials. Postoperative followup was as long as 18 months. Results: In 96% of patients the penis became straight, while residual curvature was 30 degrees in 3% and 15 degrees in 1%. In 94% of patients narrowing and indentation were absent and in 83% penile length was the same or longer postoperatively. Of the patients who were potent preoperatively 88% experienced the same or better erectile quality after surgery. In 10% of cases a change in sensation occurred lasting longer than 6 months. Overall satisfaction was expressed by 92% of men who believed that surgery improved the psychological state as well as the relationship with the partner. Conclusions: The results are satisfactory and this procedure offers a reasonable solution for correction of Peyronie's disease. References 1 : The natural history of Peyronie's disease. J. Urol.1990; 144: 1376. Link, Google Scholar 2 : Peyronie's disease. Amer. J. Clin. Path.1966; 45: 670. Google Scholar 3 : Induratio penis plastica Peyronie's disease. Clinical features and etiology. Scand. J. Urol. Nephrol.1976; 10: 12. Google Scholar 4 : Peyronie's disease. Part II. AUA Update Series1991; vol 10. lesson 2. Google Scholar 5 : The anatomy of the tunica albuginea in the normal penis and Peyronie's disease. J. Urol.1997; 157: 276. Link, Google Scholar 6 : Peyronie's disease. Brit. J. Urol.1989; 63: 223. 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Google Scholar From the Department of Urology, University of California School of Medicine, San Francisco, California© 1998 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byBACKHAUS B, MÜLLER S and ALBERS P (2018) Corporoplasty for Advanced Peyronie's Disease Using Venous And/or Dermis Patch Grafting: New Surgical Technique And Long-term Patient SatisfactionJournal of Urology, VOL. 169, NO. 3, (981-984), Online publication date: 1-Mar-2003.GHOLAMI S, GONZALEZ-CADAVID N, LIN C, RAJFER J and LUE T (2018) Peyronie's Disease: A ReviewJournal of Urology, VOL. 169, NO. 4, (1234-1241), Online publication date: 1-Apr-2003.LEVINE L and ESTRADA C (2018) Human Cadaveric Pericardial Graft for the Surgical Correction of Peyronie's DiseaseJournal of Urology, VOL. 170, NO. 6, (2359-2362), Online publication date: 1-Dec-2003.Kadioglu A, Tefekli A, Erol B, Oktar T, Tunc M and Tellaloglu S (2018) A Retrospective Review of 307 Men With Peyronie's DiseaseJournal of Urology, VOL. 168, NO. 3, (1075-1079), Online publication date: 1-Sep-2002.Monga M, Cosgrove D, Zupkas P, Jain A, Kasyan A, Wilkes N and Rajasekaran M (2018) Small Intestinal Submucosa As A Tunica Albuginea Graft MaterialJournal of Urology, VOL. 168, NO. 3, (1215-1221), Online publication date: 1-Sep-2002.HAUCK E, BSCHLEIPFER T, DIEMER T, MANNING M, SCHROEDER-PRINTZEN I and WEIDNER W (2018) Long-Term Results of Plaque Thinning with Carbide Burs, Small Incisions and Venous Grafting for Correcting Complex Penile Curvature in Peyronie's Disease: Poor Results of an "Ideal" ApproachJournal of Urology, VOL. 167, NO. 5, (2070-2073), Online publication date: 1-May-2002.HATZICHRISTOU D, HATZIMOURATIDIS K, APOSTOLIDIS A, TZORTZIS V, BEKOS A and IOANNIDIS E (2018) CORPOROPLASTY USING TUNICA ALBUGINEA FREE GRAFTS FOR PENILE CURVATURE: SURGICAL TECHNIQUE AND LONG-TERM RESULTSJournal of Urology, VOL. 167, NO. 3, (1367-1370), Online publication date: 1-Mar-2002.YURKANIN J, DEAN R and WESSELLS H (2018) EFFECT OF INCISION AND SAPHENOUS VEIN GRAFTING FOR PEYRONIE'S DISEASE ON PENILE LENGTH AND SEXUAL SATISFACTIONJournal of Urology, VOL. 166, NO. 5, (1769-1773), Online publication date: 1-Nov-2001.MONTORSI F, SALONIA A, MAGA T, BUA L, GUAZZONI G, BARBIERI L, BARBAGLI G, CHIESA R, PIZZINI G and RIGATTI P (2018) EVIDENCE BASED ASSESSMENT OF LONG-TERM RESULTS OF PLAQUE INCISION AND VEIN GRAFTING FOR PEYRONIE'S DISEASEJournal of Urology, VOL. 163, NO. 6, (1704-1708), Online publication date: 1-Jun-2000.LUE T and EL-SAKKA A (2018) VENOUS PATCH GRAFT FOR PEYRONIE'S DISEASE. PART I: TECHNIQUEJournal of Urology, VOL. 160, NO. 6 Part 1, (2047-2049), Online publication date: 1-Dec-1998.Related articlesJournal of Urology9 Nov 2018ERRATA Volume 160Issue 6 Part 1December 1998Page: 2050-2053 Advertisement Copyright & Permissions© 1998 by American Urological Association, Inc.MetricsAuthor Information AHMED I. EL-SAKKA More articles by this author HASHEM M. RASHWAN More articles by this author TOM F. LUE More articles by this author Expand All Advertisement PDF downloadLoading ...