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Paper Information

Journal:   UROLOGY JOURNAL   Spring 2004 , Volume 1 , Number 2; Page(s) 103 To 106.
 
Paper: 

RESULTS OF DERMAL PATCH GRAFT IN THE TREATMENT OF PEYRONIES DISEASE

 
 
Author(s):  IRANI DARYOUSH, ZEYGHAMI SHAHRYAR, KHEZRI A.A.A.
 
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Abstract: 
Purpose: To investigate the efficacy of "dermal patch graft" in surgical management of peyronie"s. Materials and Methods: Eighteen of peyronie"s disease cases, with a mean age of 49 and a history of penile curvature and painful erection were enrolled in this study. Diagnosis was made clinically by plaque palpation. All of them were in the chronic stage of disease with symptom duration of at least 6 months. We also evaluate their potency through Brief Sexual Function Inventory (BSFI) questionnaire before and after the operations, meanwhile the degree of penile curvature was measured with goniometry while artificial erection status was induced. Results: Mean penile curvature, before and after the operation (58 and 5 degrees respectively), showed significant improvement (p<0.001). The improvement of curvature was irrespective of the plaque size. All of our patients suffered from inability to intercourse due to significant penile curvature but after the procedure 11 of them (66.1%) could do so. Also the BSFI score improved significantly in this subgroup (p<0.05). The remaining 7 cases (39%) already suffered from erectile dysfunction despite of operation; however, the penile curvature improved significantly in them. Six of this later group had a plaque size greater than 4 cm 2 and BSFI score was not significantly improved. Conclusion: Dermal patch graft as a cost effective method in the management of peyronie"s disease significantly corrects the curvature irrespective of plaque size and curvature severity. We found that if the fibrous plaque is less than 4 cm 2 and the patients has no severe erectile dysfunction, this procedure will significantly improve his potency; however, if the patient suffers from a plaque sized greater than 4 cm2 and / or severe erectile dysfunction, to reach satisfactory, implantation of penile prosthesis or applying other methods of artificial erection in addition to dermal patch graft is suggested.
 
Keyword(s): PEYRONIES DISEASE, DERMAL GRAFT, PENILE CURVATURE
 
 
References: 
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Citations: 
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+ Click to Cite.
APA: Copy

IRANI, D., & ZEYGHAMI, S., & KHEZRI, A. (2004). RESULTS OF DERMAL PATCH GRAFT IN THE TREATMENT OF PEYRONIES DISEASE. UROLOGY JOURNAL, 1(2), 103-106. https://www.sid.ir/en/journal/ViewPaper.aspx?id=274



Vancouver: Copy

IRANI DARYOUSH, ZEYGHAMI SHAHRYAR, KHEZRI A.A.A.. RESULTS OF DERMAL PATCH GRAFT IN THE TREATMENT OF PEYRONIES DISEASE. UROLOGY JOURNAL. 2004 [cited 2021May19];1(2):103-106. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?id=274



IEEE: Copy

IRANI, D., ZEYGHAMI, S., KHEZRI, A., 2004. RESULTS OF DERMAL PATCH GRAFT IN THE TREATMENT OF PEYRONIES DISEASE. UROLOGY JOURNAL, [online] 1(2), pp.103-106. Available: https://www.sid.ir/en/journal/ViewPaper.aspx?id=274.



 
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