Paper Information

Title: 

RESULTS OF DERMAL PATCH GRAFT IN THE TREATMENT OF PEYRONIE’S DISEASE

Type: PAPER
Author(s): IRANI DARYOUSH*,ZEYGHAMI SHAHRYAR,KHEZI A.A.
 
 *
 
Name of Seminar: CONGREH ANJOMAN UROLOGY IRAN
Type of Seminar:  CONGRESS
Sponsor:  ANJOMAN OROLOGY
Date:  2005Volume 8
 
 
Abstract: 

PROPOSE: PEYRONIE’S DISEASE IS ONE OF THE MOST COMMON CAUSES OF PENILE CURVATURE AND PAINFUL ERECTION DUE TO FORMATION OF FIBROUS PLAQUES ON PENILE TUNICA ALBUGINA. THE GOAL OF THIS STUDY WAS TO INVESTIGATE THE BENEFICIAL EFFECTS OF “DERMAL PATCH GRAFT” IN SURGICAL MANAGEMENT OF THIS CONDITION, WITH SPECIAL CONSIDERATION ON POST-OPERATIVE ANATOMICAL AND FUNCTIONAL RESULTS.
METHODS & MATERIALS: 18 CASES (MEAN AGE=49 YEAR) OF PEYRONIE’S DISEASE, WITH HISTORY OF PENILE CURVATURE AND PAINFUL ERECTION, DIAGNOSED CLINICALLY WITH PLAQUE PALPATION, WERE SELECTED. ALL OF THEM WERE IN CHRONIC STAGE OF DISEASE WITH SYMPTOM DURATION OF AT LEAST 6 MONTHS. WE ALSO EVALUATE THEIR POTENCY THROUGH BSFI QUESTIONNAIRE BEFORE AND AFTER THE OPERATION, MEANWHILE DEGREE OF PENILE CURVATURE DETERMINED WITH GONIOMETRY IN ARTIFICIAL ERECTION STATUS.
RESULTS: MEAN PENILE CURVATURE, BEFORE AND AFTER THE OPERATION (58 AND 5 DEGREE RESPECTIVELY), SHOWED SIGNIFICANT IMPROVEMENT (P<0.001). THE IMPROVEMENT OF CURVATURE WAS IRRESPECTIVE TO THE PLAQUE SIZE. ALL OF OUR CASES SUFFERED FROM INABILITY TO INTERCOURSE DUE TO SIGNIFICANT PENILE CURVATURE BUT AFTER THE PROCEDURE 11 OF THEM (66.1%) CAN DO SO. ALSO THE BSFI-SCORE IMPROVED SIGNIFICANTLY IN THIS SUBGROUP (P<0.05). THE REST OF 7 CASES (39%) ALREADY SUFFERED FROM ERECTILE DYSFUNCTION DESPITE OF OPERATION, HOWEVER THE PENILE CURVATURE IMPROVED SIGNIFICANTLY IN THEM.6 OF THIS LATTER GROUP HAD PLAQUE SIZE GREATER THAN 4 CM AND BSFI-SCORE WAS NOT SIGNIFICANTLY IMPROVED IN THIS SUBGROUP.
DISCUSSION & CONCLUSION: DERMAL PATCH GRAFT AS A COST EFFECTIVE METHOD IN THE MANAGEMENT OF PEYRONIE’S DISEASE SIGNIFICANTLY WILL CORRECT THE CURVATURE IRRESPECTIVE OF PLAQUE SIZE AND CURVATURE SEVERITY. WE FOUND THAT IF THE FIBROUS PLAQUE IS LESS THAN 4 CM AND THE PATIENT HAS NO SEVERE ERECTILE DYSFUNCTION, THIS PROCEDURE WILL SIGNIFICANTLY IMPROVE HIS POTENCY, HOWEVER IF THE PATIENT SUFFERED FROM PLAQUE SIZE GREATER THAN 4CM AND/OR SEVERE ERE TILE DYSFUNCTION, OBTAIN A SATISFACTORY ERECTION, IMPLANTATION OF PENILE PROSTHESIS OR OTHER METHODS OF ARTIFICIAL ERECTION IN ADDITION TO DERMAL PATCH GRAFT IS SUGGESTED.

 
Keyword(s): PEYRONIE, PENIS, ERECTION, CURVATURE, DERMAL PATCH GRAFT
 
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